社区老年慢性病共病患者健康信息寻求行为现状及其影响因素分析  

Status quo of health information seeking behavior of elderly patients with multiple chronic conditions in community and its influencing factors analysis

作　　者：苏珍珍 朱凌云[1] 骆燕芳 叶芬 徐佳慧 芦慧[2] SU Zhenzhen;ZHU Lingyun;LUO Yanfang;YE Fen;XU Jiahui;LU Hui(Department of Gastroenterology,Affiliated Hospital of Jiangnan University,Jiangsu Province,Wuxi214125,China;Department of Oncology,Affiliated Hospital of Jiangnan University,Jiangsu Province,Wuxi214125,China)

机构地区：[1]江南大学附属医院消化内科,江苏无锡214125 [2]江南大学附属医院肿瘤科,江苏无锡214125

出　　处：《中国医药导报》2025年第7期104-109,共6页China Medical Herald

基　　金：江苏省无锡市科协软课题(KX-23-B057)。

摘　　要：目的 探索社区老年慢性病共病患者健康信息寻求行为现状及其影响因素。方法 于2023年6月至12月采用便利抽样法选取江南大学附属医院管辖的6个医联体社区中的284例老年慢性病共病患者作为研究对象。采用一般资料调查表、社会支持评定量表、健康信息寻求行为量表(HISB)和世界卫生组织生命质量测定简表(WHOQOL-BREF)进行调查,并分析相关影响因素。结果 社区老年慢性病共病患者HISB总得分为(3.50±0.34)分。患者的HISB得分在不同年龄、文化程度、月收入、患病时间、慢性疾病种类、用药种类及社会支持水平比较,差异有统计学意义(P<0.05)。患者的HISB得分与WHOQOL-BREF得分呈正相关(r=0.128,P<0.05)。回归分析结果显示,文化程度、月收入、患病时间和服药种类是HISB得分的影响因素(P<0.05);WHOQOL-BREF可影响患者的健康信息寻求行为(P<0.01)。结论 社区老年慢性病共病患者的健康信息寻求现状处于较低水平,文化程度、月收入、患病时间、服药种类及生命质量可影响患者的健康信息寻求行为。建议医疗机构制订更加精准的健康指导,帮助患者获取更多的健康信息。Objective To explore the status quo of health information seeking behavior of elderly patients with multiple chronic conditions in community and its influencing factors.Methods From June to December 2023,284 elderly multiple chronic conditions in six medical communities under the jurisdiction of the Affiliated Hospital of Jiangnan University were selected by convenience sampling method.General data questionnaire,social support rating scale,health information seeking behavior(HISB),and the World Health Organization quality of life(WHOQOL-BREF)survey were used for the investigation.The related influencing factors were analyzed.Results The total score of HISB was(3.50±0.34)points in elderly patients with multiple chronic conditions.The HISB score of patients with different age,educational level,monthly income,duration of illness,number of chronic diseases,type of medication,and level of social support had statistical significance(P<0.05).HISB score was positively correlated with WHOQOL-BREF score(r=0.128,P<0.05).Regression analysis showed that education level,monthly income,duration of illness,and type of medication were the influencing factors of HISB score(P<0.05).WHOQOL-BREF significantly affected patients’health information seeking behavior(P<0.01).Conclusion The status quo of health information seeking behavior of elderly patients with multiple chronic conditions in community is at a low level,monthly income,duration of diseases,types of medication and quality of life can significantly affect the health information seeking behavior of patients.It is suggested that medical institutions develop more accurate and personalized health guidance for patients to help patients obtain more health information.

关 键 词：慢性病共病 健康信息寻求行为 生命质量 影响因素 

分 类 号：R473.2[医药卫生—护理学]