文章摘要
傅婷婷,沈翠珍.自我感知老化与高血压患者健康行为的相关性分析及中医干预对策[J].浙江中医药大学学报,2020,44(4):394-398.
自我感知老化与高血压患者健康行为的相关性分析及中医干预对策
Correlation Study between Self-perception of Aging and Health Behaviors among Hypertension Patients and TCM Intervention Strategy
DOI:10.16466/j.issn1005-5509.2020.04.019
中文关键词: 自我感知老化  高血压  健康行为  问卷调查  中医干预  护理
英文关键词: self-perception of aging  elderly hypertension  health behaviors  questionnaires  traditional Chinese medicine intervention  nursing
基金项目:
作者单位E-mail
傅婷婷 浙江中医药大学护理学院 杭州 310053  
沈翠珍 浙江中医药大学护理学院 杭州 310053 shencuizhen@163.com 
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中文摘要:
      [目的]调查杭州市老年高血压患者自我感知老化与健康行为的现状,明确自我感知老化与健康行为的关系,为今后制定中医护理干预方案奠定基础。[方法]便利选取杭州市某三级甲等医院和某社区卫生服务中心的老年高血压患者320例,采用一般资料调查表、中文版老化感知问卷、中文版健康促进生活方式量表对其自我感知老化和健康行为现状进行调查,分析自我感知老化对健康行为的影响,并结合中医护理学探索针对性的中医护理干预对策。[结果]老年高血压患者自我感知老化各维度中积极控制维度得分最高(4.17±0.49)分,情感表征维度的得分最低(2.87±0.85)分,其健康行为(110.16±13.83)分,处于良好水平。自我感知老化中急/慢性时间期维度、情感表征维度、消极控制维度及消极结果维度与健康行为呈负相关(P<0.05),积极控制维度、积极结果维度与健康行为呈正相关(P<0.05)。另外,中医情志护理能够改善高血压患者的负性情绪。[结论]自我感知老化影响老年高血压患者健康行为的各个方面,护理人员应通过中医情志护理,使其形成积极的老化感知,并联合中医适宜技术辅助控制血压。
英文摘要:
      [Objective] To investigate the status and analyze the self-perception of aging and health behaviors among elderly hypertensive patients in Hangzhou to lay a foundation for nursing intervention of TCM in the future.Using convenience sampling, 320 elderly hypertension patients from a hospital and a community in Hangzhou were investigated with three questionnaires to analyze the influence of self-perception of aging on health behaviors, and combining with traditional Chinese medicine nursing to explore the intervention countermeasures.[Results]The scores of positive control dimension(4.17±0.49) were the highest and emotional representation dimension(2.87±0.85) and the lowest among all dimensions. The health behaviors(110.16±13.83) were at a good level. The acute/chronic time dimension, the emotional representation dimension, the negative control dimension and the negative outcome dimension were negatively correlated with health behaviors(P<0.05), while positive control dimension and positive outcome dimension were positively correlated with health behaviors(P<0.05). In addition, TCM emotional nursing can improve the negative emotions of patients with hypertension.Self-perception of aging had a great impact on various aspects of health behaviors of elderly hypertensive patients. Nurses should help them form a positive perception of aging through TCM emotional nursing and combine TCM appropriate technology to control blood pressure.
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