社区高血压患者健康素养与自我管理能力的典型相关分析

目的了解社区高血压患者健康素养与自我管理能力现状及其相关关系,为进一步的干预研究提供参考依据。方法于2019年6~10月,使用随机数字表法随机抽取多个街道或镇(乡),再抽取社区(村)年龄18周岁以上确诊为高血压病的401名常住居民构成本次研究对象,使用一般资料问卷、中文版高血压疾病相关健康素养量表、高血压病人自我管理行为测评量表进行现场一对一调查。采用SPSS 24.0对高血压患者健康素养、自我管理行为测评得分情况进行分析;SAS 9.4对高血压患者健康素养与自我管理行为进行典型相关性分析。结果社区高血压患者的健康素养得分为(38.94±17.56)分;自我管理能力得分为(129.45±16.53)分。典型相关分析结果表明:健康素养与自我管理行为之间的典型相关系数达到0.57,主要表现在"用药标签"与"饮食管理"相关性比较大。结论应重视健康素养对自我管理能力的积极作用,进一步的干预研究应以健康素养的"用药标签"及"书面健康素养"维度作为切入点,有效提高社区高血压患者自我管理能力。

Canonical correlation between health literacy and self-management ability of patients with hypertension in community

Objective To understand the status and association of health literacy and self-management ability of hypertensive patients in the community and to provide reference for further intervention research.Methods From June 2019 to October 2019,a random number table method was used to randomly select multiple streets or towns/townships,and then 401 residents in the community or village aged above 18 years of age diagnosed as hypertension were selected as the subjects of this study.The general data questionnaire,high blood pressure-health literacy scale into Chinese(C-HBP-HLS)and hypertension patients self-management behavior rating scale(HPSMBRS)were used to conduct one-to-one field survey.SPSS 24.0 was used to analyze the scores of health literacy and self-management behavior of patients with hypertension.SAS 9.4 was used to analyze the canonical correlation between health literacy and self-management behavior of patients with hypertension.Results The score of health literacy and self-management ability were(38.94±17.56)points and(129.45±16.53)points,respectively.The results of canonical correlation analysis showed that the canonical correlation coefficient between health literacy and self-management behavior reached 0.57,which was mainly reflected in the great correlation between"drug label"and"diet management".Conclusion Attention should be paid to the positive effect of health literacy on self-management ability,and further intervention research should take the"drug label"and"written health literacy"dimensions of health literacy as entry points to effectively improve the self-management ability of hypertension patients in the community.