大理大学学报 ›› 2021, Vol. 6 ›› Issue (4): 80-84.

• 护理学 • 上一篇    下一篇

空巢老年高血压患者自我管理影响因素的中介模型

 张 惠,张 彬   

  1. (1.铜陵职业技术学院,安徽铜陵 244000;2.铜陵市人民医院,安徽铜陵 244000)
  • 收稿日期:2020-08-14 修回日期:2020-11-14 出版日期:2021-04-15 发布日期:2021-05-19
  • 作者简介:张惠,副教授,主要从事护理教育研究。
  • 基金资助:
    安徽省2020年高校自然科学重点项目(KJ2020A0970);安徽省2020年高校优秀青年人才支持计划重点项目
    (gxyqZD2020065);安徽省高校校级教研重点项目(tlpt2019TK001);安徽省高校校级自然课题(tlpt2019NG003)

A Mediation Model of Factors Influencing the Self-Management of Empty-Nest Elderly Patients with Hypertension

 Zhang Hui, Zhang Bin   

  1. (1. Tongling Technical College, Tongling, Anhui 244000, China; 2. Tongling People′s Hospital, Tongling, Anhui 244000, China)
  • Received:2020-08-14 Revised:2020-11-14 Online:2021-04-15 Published:2021-05-19

摘要: [摘要]目的:研究空巢老年高血压患者社会支持、治疗态度与信念同自我管理的关系,为提高其自我管理水平提供科学依据。
方法:用社会支持评定量表、高血压患者治疗态度与信念量表、高血压患者自我管理量表,对208名研究对象进行问卷调查。
结果:社会支持量表评分(41.93 ± 5.48)分、高血压患者治疗态度与信念量表评分(64.22±10.92)分、高血压患者自我管理量表
评分(70.68 ± 9.21)分,高血压患者治疗态度与信念同社会支持和自我管理两两均呈正相关(P<0.05)。社会支持在高血压治
疗态度与信念和高血压自我管理间存在部分中介效应,中介效应 95% 置信区间为(0.160,0.508),中介效应占总效应的
41.42%。结论:社会支持、治疗态度与信念同空巢老年高血压患者自我管理水平关系密切,通过提高社会支持和患者治疗的
态度与信念能提升其自我管理水平。

关键词: [关键词]空巢老人, 高血压, 社会支持, 治疗态度与信念, 自我管理

Abstract: 〔Abstract〕Objective: To study the relationship between social support, treatment attitudes and beliefs and self-management of
empty-nest elderly patients with hypertension, and to provide a scientific basis for improving their self-management level. Methods:
We established the social support rating scale, the scale of attitude and belief in treating hypertension, and the self-management scale
of patients with hypertension to make a survey among 208 subjects. Results: The social support rating scale score was 41.93±5.48
points, the scale of attitude and belief in treating hypertension scored 64.22±10.92 points, and the self-management scale of patients
with hypertension scored 70.68±9.21 points. There was a positive correlation between attitude and belief in hypertension treatment and
social support and hypertension self-management(P<0.05). Social support had a partial mediating effect between attitudes and beliefs
in the treatment of hypertension and self-management of hypertension. The 95% confidence interval of the mediating effect was
(0.160, 0.508). The mediating effect accounted for 41.42% of the total effect. Conclusion: Social support, treatment attitudes and
beliefs are closely related to the self-management level of empty-nest elderly patients with hypertension. The self-management level
can be improved by promoting social support and treatment attitudes and beliefs of patients.

Key words: 〔Key words〕empty-nest elderly, hypertension, social support, treatment attitude and belief, self-management

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