Current status and influencing factors of activation of older patients with chronic disease
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Updated: Jul 4, 2025

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
Zhu Yiran1, Zhang Yan1, Xing Lijun1
1School of Nursing and Health, Zhengzhou University, Zhengzhou, Henan, China.
Objective:
We aimed to investigate the status and influencing factors of activation of older patients with chronic disease.
Methods:
We conducted a cross-sectional study, using the general information questionnaire, Patient Activation Measure, the Chinese version of the e-Health Literacy Scale, and the Health Empowerment Scale for the Elderly with Chronic Disease. By the convenience sampling method, 289 older patients with chronic disease were selected from January to April 2023 in a Class A tertiary hospital in Zhengzhou.
Results:
The mean score of the Patient Activation Measure for older patients with chronic disease was 65.94 ± 13.35. The association of influencing factors such as religion, family income, health empowerment, e-health literacy, and patient activation was investigated.
Conclusion:
The patient activation of older patients with chronic disease was at a middle level. Patients without religion and from high-income families tended to have a higher level of patient activation. Improving health empowerment and e-health literacy levels promotes patient activation and enhances their self-health management ability.
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