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| 农村慢性病老年人自我忽视与健康促进生活方式的相关性研究 | |
| 引用本文： | 易子涵1,侯梦佳1,李茜1,张海茹1,杨良琴2,徐铁飞1,鞠梅1. 农村慢性病老年人自我忽视与健康促进生活方式的相关性研究[J]. 现代预防医学, 2020, 0(23): 4299-4302 |
| 作者姓名： | 易子涵1 侯梦佳1 李茜1 张海茹1 杨良琴2 徐铁飞1 鞠梅1 |
| 作者单位： | 1.西南医科大学护理学院，四川 泸州 646000；2.四川大学华西医院老年医学中心 |
| 摘 要： | 目的 探讨农村慢性病老年人自我忽视（ESN）与健康促进生活方式(HPL)的现状及关系，为促进农村老年人的健康行为方式提供理论依据。方法 采用多阶段分层抽样的方法，在四川省德阳市、泸州市、广元市抽取719名农村慢性病老年人，采用一般资料调查表、农村老年人自我忽视量表、健康促进生活方式修订版调查量表进行问卷调查，运用多元线性回归分析探究ESN与HPL之间的关系。结果 共发放问卷785份，有效回收719份，有效回收率为91.6%。ESN得分为9(5,13)，筛查出28.9%的的老年人有ESN；HPL得分为91(80,105)，HPL水平差和一般的占比分别为7.5%、56.5%。分层多元线性回归分析结果显示在去除混杂因素（年龄段、文化程度、个人月收入、疼痛、自评健康状况、共患病）后，老年自我忽视可负相预测农村慢性病老年人的健康促进生活方式水平［β=-0.40,95%CI(-1.31,-0.94),P＜0.001］。结论 老年自我忽视可能是农村慢性病患者健康促进生活生活方式的独立危险因素，提示卫生服务人员重视农村慢性病老年人的ESN并加强对ESN的筛查。 |
| 关 键 词： | 老年人 农村 自我忽视 健康促进生活方式 |
Correlation between elderly self-neglect and health-promoting life style of the elderly with chronic in rural |
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| YI Zi-han,HOU Meng-jia,LI Qian,ZHANG Hai-ru,YANG Liang-qin,XU Tie-fei,JU Mei. Correlation between elderly self-neglect and health-promoting life style of the elderly with chronic in rural[J]. Modern Preventive Medicine, 2020, 0(23): 4299-4302 | |
| Authors: | YI Zi-han HOU Meng-jia LI Qian ZHANG Hai-ru YANG Liang-qin XU Tie-fei JU Mei |
| Affiliation: | *School of Nursing, Southwest Medical University,Luzhou,Sichuan 646000,China |
| Abstract: | Objective To explore the situation of elder self-neglect (ESN) and health-promoting lifestyle (HPL) of the elderly with chronic diseases in rural and their relationship, and to provide theoretical basis for promoting the healthy behavior of the elderly in rural areas.[WTHZ]Methods A multi-stage stratified sampling method was used to select 719 rural elderly in Deyang, Luzhou, and Guangyuan in Sichuan Province. The general data questionnaire, rural elderly self-neglect scale, and health promotion lifestyle revised survey scale were used to conduct questionnaire survey. Spearman correlation analysis and stratified multiple linear regression analysis were used to explore the relationship between ESN and HPL.[WTHZ]Results A total of 785 questionnaires were given out, with an effective recovery of 719, and the effective recovery rate was 91.6%. The ESN score was 9(5,13), and 28.9% of the elderly were screened for ESN. The HPL score was 91(80,105), and the proportions of poor and general HPL level were 7.5% and 56.5%, respectively. The results of stratified multiple linear regression analysis showed that after removing the confounding factors (age group, education level, personal monthly income, pain, self-assessment of health status, comorbidities), self-neglect couldnegatively predict the health-promoting lifestyle level of rural chronically ill elderly people ［β=-0.40, 95%CI (-1.31, -0.94), P<0.001］. [WTHZ]Conclusion Elderly self-neglect may be an independent risk factor for the health promotion of rural patients with chronic diseases, which prompting health care workers to strengthen screening and attention to self-neglect of rural chronic disease elderly. |
| Keywords: | Elderly Rural areas Self-neglect Health promotion lifestyle |
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