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Title:: Self-management status and influencing factors in middle-aged patients with hypertension

Author(s):: FU Zhong-yang; LI Ya-xiong; LI Xue-biao; (Department of Internal Medicine, Hospital of PAP Kunming Frontier Defense School, Kunming 650214, Yunnan, China)

Keywords:: middle-aged patients; hypertension; self-management; influencing factors

摘要:: 目的:观察现阶段中年高血压病患者自我管理的情况，并对其影响因素进行探讨。方法：抽取我校门诊2010～2012年收治的120例中年高血压病患者进行自我管理能力问卷、影响因素问卷调查研究。结果：经过调查，患者在日常生活行为、症状认知、疾病管理及自我管理总分上的分数分别为（12.4±3.7）分、（13.0±2.8）分、（19.2±3.6）分和（44.6±6.5）分。根据多元逐步回归的显示情况来看，患者日常生活行为主要受到自我效能、态度及文化程度等影响；症状认知主要受到文化程度、高血压知识及性别等影响；疾病管理主要受到自我效能、高血压知识及家族史等影响；患者自我管理总维度则显示受到自我效能和对待疾病的态度所影响(均P<0.05)。结论：现阶段中年高血压病患者的自我管理水平仍有待提高，主要受到患者的自我效能、面对态度、文化程度和高血压病知识，以及性别和家族史等的影响。

Abstract:: AIM:To study the self-management status and influencing factors in middle-aged patients with hypertension. METHODS: A questionnaire survey for self-management and influencing factors was conducted in 120 cases of hypertensive patients from 2010 to 2012. RESULTS: The scores of activities of daily living, cognitive symptoms, disease management and self-management were, respectively, (12.4±3.7) points, (13.0±2.8) points, (19.2±3.6) points and (44.6±6.5) points. Multiple stepwise regression analysis showed that the activities of daily living were mainly affected by self-efficacy, attitudes and education level. Cognitive symptoms were mainly affected by education level, knowledge of hypertension and genders. Disease management was mainly affected by self-efficacy, knowledge of hypertension and family history of hypertension; and patient self-management dimension was affected mainly by self-efficacy and attitudes towards the disease (all P<0.05). CONCLUSION: Self-management in middle-aged patients with hypertension should be improved and the main influencing factors are self-efficacy, attitude, educational level and hypertension knowledge, gender and family history.