农村老年高血压患者心血管疾病风险感知及对自我管理的影响  

Risk perception of cardiovascular disease and its impact on self-management in rural elderly patients with hypertension

作　　者：李焕 张继娜 马云霞 王庆林 罗小闯 Li Huan;Zhang Jina;Ma Yunxia;Wang Qinglin;Luo Xiaochuang(School of Nursing,Henan Medical College,Zhengzhou 450000,China)

机构地区：[1]河南医学高等专科学校护理学院,河南郑州450000

出　　处：《护理学杂志》2023年第19期12-15,33,共5页Journal of Nursing Science

基　　金：河南省高等教育教学改革研究与实践重点项目(2021SJGLX722)。

摘　　要：目的探讨农村老年高血压患者心血管疾病风险感知及其对自我管理的影响,为进一步提高农村老年高血压患者自我管理水平提供参考。方法选取郑州市662例农村老年高血压患者作为研究对象,采用单条目心血管疾病风险感知评估工具与高血压病人自我管理行为测评量表进行问卷调查。结果662例农村老年高血压患者心血管疾病风险感知总分为2.00(1.00,4.00)分,自我管理总分为(113.42±23.24)分;心血管疾病风险感知总分与自我管理总分呈显著正相关(r=0.755,P<0.001);分层回归分析结果显示,心血管疾病风险感知是自我管理的重要预测因子,可独立解释患者自我管理27.1%的变异。结论心血管疾病风险感知是农村老年高血压患者自我管理的重要影响因素,心血管疾病风险感知危险性越高的患者其自我管理水平越高。Objective To explore the cardiovascular disease risk perception and its impact on self-management in rural elderly patients with hypertension,and to provide reference for further improving the self-management level of rural elderly patients with hypertension.Methods A total of 662 rural elderly patients with hypertension in Zhengzhou were selected by multi-stage stratified sampling method,and questionnaire survey was conducted by using the single-item cardiovascular disease risk perception assessment tool and the Hypertension Patients Self-Management Behavior Rating Scale(HPSMBRS).Results The total scores of cardiovascular di-sease risk perception and self-management were 2.00(1.00,4.00)and 113.42±23.24 respectively in the patients.The total scores of cardiovascular disease risk perception and self-management were significantly positively correlated(r=0.755,P<0.001).Hie-rarchical regression analysis showed that cardiovascular disease risk perception was an important predictor of self-management,independently explaining 27.1%of the variation in patient self-management.Conclusion Cardiovascular disease risk perception is an important factor affecting self-management of elderly patients with hypertension in rural areas.The higher the perceived risk of cardiovascular disease,the higher the level of self-management.

关 键 词：农村 老年人 高血压 心血管疾病 风险感知 自我管理 

分 类 号：R473.2[医药卫生—护理学] R212.7[医药卫生—临床医学]