基于健康信念模型的尿毒症县老年高血压患者自我护理行为的相关因素

S. Poormuhamad, Z. Jalili
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引用次数: 7

摘要

高血压是发展中国家最重要的公共卫生问题。它是中风、肾衰竭、过早死亡的主要原因,也是心血管疾病的危险因素,尤其是在老年人中。本研究旨在探讨尿毒症县老年高血压患者自我护理行为的影响因素。方法:采用横断面研究方法,随机入组120例尿毒症市卫生保健中心的老年高血压患者。数据收集问卷包括人口统计问题、知识、自我保健和健康信念模型结构。数据采用方差分析,线性回归分析采用16 SPSS软件。结果:老年人平均年龄72.6±11.72岁。结果显示,自我照顾行为与性别、婚姻状况、经济状况有显著相关。感知自我效能(B=0.382)和感知易感性(B=0.20)分别是HBM构式中自我护理行为的最高和最低预测因子,且具有统计学意义。结论:根据研究结果,HBM结构在老年人高血压控制中发挥重要作用,感知自我效能感更能预测HBM结构之间的高血压自我保健行为。因此,建议研究者在未来的研究中重点关注其他关于老年人自我照顾行为的HBM结构。
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Related factors to self-care behaviors in elderly with hypertension based on the Health Belief Model in Uremia County
Introduction: High blood pressure is the most important public health problem in developing countries. It a leading cause of stroke, kidney failure, premature death and a risk factor for cardiovascular disease particularly in elderly. The aim of conducting this study was to investigate the factors associated with self-care behaviors in elderly with hypertension based on health belief model in Uremia County. Method: In this cross-sectional study of 120 elderly patients with hypertension who covered by health care centers in Uremia city were randomly enrolled. Data collection questionnaire included demographic questions, knowledge, self-care and health belief model structures. Data using ANOVA, linear regression analysis using software was 16 SPSS. Results: The mean age of the elderly was 72.6 ± 11.72 years. The results showed that self-care behaviors had a significant relationship with gender, marital status, and economic situation. Perceived self-efficacy (B=0.382) and perceived susceptibility (B=0.20) were highest and lowest predictors of self-care behavior among HBM constructs respectively and were statistically significant. Conclusion: According to the results, HBM constructs can play an important role in hypertension control among an elderly and perceived self-efficacy was more predictor hypertension self-care behaviors between HBM constructs. Therefore, recommended that researchers focus on another HBM constructs on self-care behaviors in the elderly at future studies.
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