轻度认知损害老年HIV/AIDS病人健康促进行为现状及影响因素分析  

Status quo and influencing factors of health promotion behavior in elderly HIV/AIDS patients with mild cognitive impairment

作　　者：张芳 陆国涛 徐静艳 杨红丽 ZHANG Fang;LU Guotao;XU Jingyan;YANG Hongli(School of Nursing Dali University,Yunnan 671000 China)

机构地区：[1]大理大学护理学院,671000 [2]云南省传染病医院,650302

出　　处：《全科护理》2025年第5期798-802,共5页Chinese General Practice Nursing

基　　金：2022年云南省教育厅科学研究基金项目,编号:2022Y873;云南省艾滋病病毒学及临床诊疗技术创新研究中心项目,编号:202102AA310005。

摘　　要：目的:调查轻度认知损害老年人类免疫缺陷病毒/艾滋病(HIV/AIDS)病人健康促进行为现状及影响因素。方法:采用一般资料调查表、健康促进生活方式评定量表Ⅱ(HPLP-Ⅱ)、慢性病管理自我效能感量表(CDSES)对370例轻度认知损害老年HIV/AIDS病人进行问卷调查,多元线性回归模型分析其健康促进行为的影响因素。结果:轻度认知损害老年HIV/AIDS病人健康促进行为总分为(89.44±11.69)分,其营养维度得分最高(2.98±0.33)分。多元线性回归分析显示慢性病管理自我效能感、居住地、居住方式、文化程度、月收入、社交活动是其健康促进行为的主要影响因素(P<0.05)。结论:轻度认知损害老年HIV/AIDS病人健康促进行为处于一般水平。临床医护人员及艾滋病个案管理师应加强对慢性病管理自我效能感水平低、居住在农村、独居、文化程度低、月收入低、偶尔参加社交活动的轻度认知损害老年HIV/AIDS病人进行精准化管理,以提高其慢性病自我管理能力,促进其健康行为的建立,以延缓其认知功能进一步衰退。Objective:To investigate the status quo of health promotion behavior in elderly HIV/AIDS patients with mild cognitive impairment and analyze influencing factors.Methods:A total of 370 elderly HIV/AIDS patients with mild cognitive impairment were investigated by general data questionnaire,Health Promotion Lifestyle Rating Scale Ⅱ(HPLP-Ⅱ)and Self-efficacy for Managing Chronic Disease 6-Item Scale,(CDSES).Multiple linear regression model was used to analyze the influencing factors of health promotion behavior.Results:The total score of health promoting behaviors in elderly HIV/AIDS patients with mild cognitive impairment was(89.44±11.69).the nutrition dimension showed the highest score(2.98±0.33).Multiple linear regression analysis showed that self-efficacy of chronic disease management,residence,living style,educational level,monthly income and social activities were the main factors influencing health promotion behavior of elderly HIV/AIDS patients with mild cognitive impairment(P<0.05).Conclusions:The health promotion behavior of elderly HIV/AIDS patients with mild cognitive impairment was at a normal level.Clinical medical staff and AIDS case managers should implement precise management strategies for those demonstrating low self-efficacy in chronic disease management,rural residence,solitary living,limited education,low monthly income,and infrequent social participation.These tailored strategies aim to enhance chronic disease self-management capabilities,foster the establishment of healthy behaviors,and ultimately delay further cognitive decline among this vulnerable population.

关 键 词：轻度认知损害 人类免疫缺陷病毒感染者/艾滋病病人 健康促进行为 影响因素 

分 类 号：R473.5[医药卫生—护理学]