上海市老年人中医健康素养与健康促进水平的相关性研究  

Study on the correlation between health literacy of traditional Chinese medicine and health promotion among older adults in Shanghai

作　　者：耿丹丹 廖晓琴[1] 杨杰超 李维娜 戴梦峤 GENG Dandan;LIAO Xiaoqin;YANG Jiechao;LI Weina;DAI Mengqiao(School of Nursing,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学护理学院,上海201203

出　　处：《护士进修杂志》2024年第5期487-492,共6页Journal of Nurses Training

基　　金：上海中医药大学护理学院学科能力提升项目(编号:2023HLXK03)。

摘　　要：目的了解上海市老年人健康促进行为现状,并分析其与中医健康素养的相关性,为从中医药角度制定措施提升老年人健康行为提供参考。方法于2023年5-8月,采用便利抽样法以261例上海市老年人为研究对象,使用一般资料调查表、中医健康素养量表、老年健康促进量表进行调查。结果上海市老年人健康促进行为得分为(50.59±6.47)分,中医健康素养得分为(90.96±12.04)分。分层线性回归分析显示:教育程度、月收入、自评健康状况、慢性疾病数量、身体活动能力、生活自理能力是健康促进行为的影响因素(P均<0.05),自变量纳入中医健康素养后对健康促进行为总变异的解释率提升12.5%。结论上海市老年人中医健康素养处于较低水平,健康促进水平处于中等程度,老年人中医健康素养水平与健康促进水平密切相关,即中医健康素养越好,健康促进水平越高。因此,对于护理管理者而言,应关注中医药在老年群体中的应用效果,并采取科学的方法提升老年人的中医健康素养,从而促进其健康水平的提高和健康行为的改善。Objective To understand the current status of health promotion among older adults in Shanghai,and analyze their relevance to health literacy of traditional Chinese medicine(TCM),so as to provide a reference for developing measures to promote health behaviors among older adults from the perspective of TCM.Methods A total of 261 older adults in Shanghai were selected by the research objects by using the convenient sampling method,and were investigated by general data questionnaire,TCM Health Literacy Scale,and Geriatric Health Promotion Scale from May to August 2023.Results The scores for health promoting and TCM health literacy among older adults in Shanghai were(50.59±6.47)points and(90.96±12.04)points,respectively.The results of hierarchical linear regression analysis showed that education level,monthly income,self-rated health status,number of chronic diseases,physical activity ability,and self-care ability were influencing factors of health promotion behaviors(all P<0.05),and the explanatory rate of the total variation in health promotion behaviors increased by 12.5%after the independent variable was included in the TCM health literacy.Conclusion Older adults in Shanghai have a low level of TCM health literacy,while their health promotion level is at a medium level.The level of TCM health literacy among older adults is closely related to the level of health promotion,that is,the better the TCM health literacy,the higher the level of health promotion.Therefore,nursing managers should pay attention to the application effectiveness of TCM in the older adults,and adopt scientific methods to enhance their health literacy in TCM,thereby promoting their health level and improving their health behaviors.

关 键 词：上海市 老年人 中医健康素养 健康促进 康养护理 

分 类 号：R248[医药卫生—中医临床基础] R473.1[医药卫生—中医学]