エッセンシャル高血圧患者における患者活性化のための潜伏プロフィール分析
Qingqing Wang1, Xiao Xin2, Xianhua Li1,3
1School of Nursing, Shanghai Jiao Tong University, School of Nursing, Shanghai, People's Republic of China.
Patient preference and adherence
|September 3, 2025
まとめ
ほとんどの高血圧患者は自己管理能力が低い. 収入の向上,健康に関する知識の向上,自己効力感の向上により 患者の活動性が向上し 高血圧の自己管理ができるようになります
科学分野:
- 医学
- 公衆衛生
背景:
- 高血圧の管理には,患者の自己ケアへの積極的な参加が必要です.
- 知識,スキル,自信を含む患者の活性化が健康管理に不可欠です.
- 従来の方法では,高血圧の自己管理における患者の関与の微妙な側面を捉えることができません.
研究 の 目的:
- 潜在プロファイル分析 (LPA) を用いて高血圧患者の異なる活性化プロフィールを特定する.
- この集団における患者の活性化レベルに影響を与える主要な予測要因を調査する.
主な方法:
- 上海にある高血圧患者の301人を対象とした横断的な研究です.
- 人口統計のアンケート,患者アクティベーション測定値 (PAM),一般的自己有効性スケール (GSES),健康リテラシースケール (HLSCP),高血圧アデランススケール (TASHP) を利用した.
- プロフィール識別と予測分析のためのロジスティック回帰でLPAを使用します.
主要な成果:
- 2つの異なる患者のアクティベーションプロファイルが特定されました. 高度な認知- 積極的な行動 (33. 9%) と受動的認知- 低いスキル (66. 1%).
- 月収 (OR=1. 725),自己有効性 (OR=1. 162) と健康識字 (OR=1. 027) は,患者の活性化を有意に予測した.
結論:
- 大半の高血圧患者 (66. 1%) は低活性化を示し,標的の介入が必要である.
- より高い収入,健康に関する知識,そして自己効力感は 患者の活動性の向上と関連しています
- 介入は,患者の関与と自己管理を改善するために,自己効能と健康教育を強化することに焦点を当てなければなりません.
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