对于基本高血压患者的患者激活的潜形状分析
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
概括
大多数高血压患者表现出低自我管理能力. 提高收入,健康素养和自我效能可以提高患者的激活力,以更好地管理高血压.
科学领域:
- 医学科学
- 公共卫生
背景情况:
- 治疗高血压需要患者积极参与自我护理.
- 患者的激活,包括知识,技能和信心,对于健康管理至关重要.
- 传统方法可能无法捕捉患者参与高血压自我管理的细微差别.
研究的目的:
- 使用隐形形状分析 (LPA) 识别高血压患者的不同激活特征.
- 调查影响患者激活水平的关键预测因素.
主要方法:
- 一项涉及301名上海三级医院基本高血压患者的横截面研究.
- 使用的人口调查问卷,患者激活量 (PAM),一般自我效能量 (GSES),健康素养量 (HLSCP) 和高血压坚持量 (TASHP).
- 使用LPA进行配置识别和后勤回归进行预测分析.
主要成果:
- 确定了两种不同的患者激活特征:高认知 - 积极行动 (33. 9%) 和被动认知 - 低技能 (66. 1%).
- 月收入 (OR=1. 725),自我效能 (OR=1. 162) 和健康素养 (OR=1. 027) 显著预测了患者的激活.
结论:
- 大多数高血压患者 (66. 1%) 的活性较低,需要针对性干预.
- 更高的收入,健康素养和自我效能与患者的积极性增加有关.
- 干预措施应侧重于提高自我效能和健康教育,以改善患者参与和自我管理.
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