Volume 44 Issue 7
Jul.  2023
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Qichuan HU, Lichun JIANG, Fujing FENG, Yajing ZHANG, Ximeng ZHAO, Yueyun ZHANG, Hechuan ZHANG. The Influencing Factors of Self-rated Health Status of Elderly Patients with Hypertension in Yi Rural Areas of Yunnan Province[J]. Journal of Kunming Medical University, 2023, 44(7): 40-46. doi: 10.12259/j.issn.2095-610X.S20230704
Citation: Qichuan HU, Lichun JIANG, Fujing FENG, Yajing ZHANG, Ximeng ZHAO, Yueyun ZHANG, Hechuan ZHANG. The Influencing Factors of Self-rated Health Status of Elderly Patients with Hypertension in Yi Rural Areas of Yunnan Province[J]. Journal of Kunming Medical University, 2023, 44(7): 40-46. doi: 10.12259/j.issn.2095-610X.S20230704

The Influencing Factors of Self-rated Health Status of Elderly Patients with Hypertension in Yi Rural Areas of Yunnan Province

doi: 10.12259/j.issn.2095-610X.S20230704
  • Received Date: 2023-05-23
    Available Online: 2023-07-17
  • Publish Date: 2023-07-25
  •   Objective  To investigate the self-rated health status of elderly hypertensive patients in rural areas of Yi people, Yunnan province, and explore the influencing factors.   Methods  A convenience sample of 980 elderly hypertensive patients from rural areas where Yi ethnic groups gather in Yunnan Province was selected and their basic information, self-management and self-rated health level were investigated through a questionnaire survey. The relationship between self-management and self-rated health level was explored by Pearson correlation analysis. Finally, the influencing factors of the self-rated health level of elderly hypertensive patients were explored by multiple linear regression analysis.   Results  The participants reported low levels of self-rated health and self-management behavior. There was no significant difference in self-rated health scores between Han and Yi hypertensive elders (t = 1.458, P = 0.145). However, Han hypertensive elders had significantly higher self-management scores than Yi hypertensive elders (t = 2.577, P = 0.010). Accepted education (b = 10.408, P < 0.001), good economic situation (b = 8.309, P < 0.001), and high self-management score (b = 1.911, P < 0.001) were protective factors for self-rated health, while living alone (b = -7.052, P = 0.039), having a disease in the past two weeks (b = -5.950, P = 0.049), being physically disabled (b = -17.445, P < 0.001), and having other chronic diseases (b = -14.014, P < 0.001) were risk factors for self-rated health.   Conclusions  The findings suggest that elderly hypertensive patients in rural Yi areas have poor self-rated health. Interventions are recommended to enhance their self-management skills and to address their specific needs, especially for those who live alone or have poor physical condition.
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  • [1]
    马吉祥,王丽敏. 《预防控制非传染性疾病全球行动计划(2013~2020)》解读[J]. 中国医学前沿杂志(电子版),2014,6(3):9-11.
    [2]
    胡亦新,郭艺芳,王磊. 老年高血压合并认知障碍诊疗中国专家共识(2021版)[J]. 中国临床保健杂志,2021,24(2):145-159.
    [3]
    石青萍,邵英,杨永芳,等. 云南省2018年成年居民高血压患病率、知晓率、治疗率和控制率现况分析[J]. 中国医学前沿杂志(电子版),2021,13(2):30-34.
    [4]
    云南省少数民族人口数(第七次全国人口普查数据), 云南省民族宗教事务委员会[EB/OL]. [2023-04-27]. https://mzzj.yn.gov.cn/html/2022/changjianwenti_0729/43316.html.
    [5]
    刘力生,吴兆苏,王继光,等. 中国高血压防治指南2018年修订版[J]. 心脑血管病防治,2019,19(1):1-44.
    [6]
    刘宁,张婧珺,鱼星锋,等. 高血压病人自我管理量表的研制与信效度检验[J]. 护理研究,2015,29(14):1764-1767.
    [7]
    许军,王斌会,胡敏燕,等. 自测健康评定量表的研制与考评[J]. 中国行为医学科学,2000,9(1):69-72.
    [8]
    马明艳,王增武,王馨,等. 原发性高血压患者自评健康状况及影响因素[J]. 中华高血压杂志,2022,30(8):777-783.
    [9]
    申香丹,吕启圆,任丽萍,等. 老年高血压患者健康状况与生活质量的相关关系[J]. 延边大学医学学报,2013,36(1):48-50.
    [10]
    靳伟. 老年高血压患者自我管理水平现状与影响因素分析[J]. 基层医学论坛,2022,26(1):33-35.
    [11]
    李松,陈娟,朱超刚,等. 基于同伴教育的5 g减盐在社区老年高血压患者自我管理的效果研究[J]. 昆明医科大学学报,2022,43(10):187-192.
    [12]
    刘雪仪,魏明杰,钱东福. 江苏省农村高血压防治知识知晓及治疗依从性分析[J]. 南京医科大学学报(社会科学版),2017,17(1):12-16.
    [13]
    田雪莹,张丙银,杜军芳,等. 山东农村高血压患者防治知识知晓程度及服药依从性相关研究[J]. 中国慢性病预防与控制,2021,29(3):178-182.
    [14]
    马晓林,韩明华,胥勇,等. 红河州哈尼族、彝族农民高血压知晓率人口学特征调查[J]. 吉林医学,2012,33(36):7929-7931.
    [15]
    Li R,Liang N,Bu F,Hesketh T. The effectiveness of self-management of hypertension in adults using mobile health: Systematic review and meta-analysis[J]. JMIR mHealth and uHealth,2020,8(3):e17776. doi: 10.2196/17776
    [16]
    Chandak A,Joshi A. Self-management of hypertension using technology enabled interventions in primary care settings[J]. Technology and Health Care:Official Journal of the European Society for Engineering and Medicine,2015,23(2):119-128.
    [17]
    Perez A. Self-management of hypertension in Hispanic adults[J]. Clinical Nursing Research,2011,20(4):347-365. doi: 10.1177/1054773811411582
    [18]
    Czaja S J,Moxley J H,Rogers W A. Social support,isolation,loneliness,and health among older adults in the PRISM randomized controlled trial[J]. Frontiers in Psychology,2021,10(12):728658.
    [19]
    Henderson A S,Scott R,Kay D W. The elderly who live alone: Their mental health and social relationships[J]. The Australian and New Zealand Journal of Psychiatry,1986,20(2):202-209. doi: 10.3109/00048678609161332
    [20]
    赵金友,邓阳,朱云芳,等. 云南省城市空巢老人孤独状况与生命质量相关性分析[J]. 昆明医科大学学报,2014,35(7):45-49.
    [21]
    杨家甜,马国玉,申静蓉,等. 云南省宜良县农村老年人社会支持与抑郁的关系[J]. 昆明医科大学学报,2019,40(6):48-52.
    [22]
    Chen Y,Hicks A,While A E. Loneliness and social support of older people living alone in a county of Shanghai,China[J]. Health & Social Care in the Community,2014,22(4):429-438.
    [23]
    李恒希,杜时甫,黄志华,等. 昆明地区空巢与非空巢老人意外跌倒情况调查报告[J]. 昆明医科大学学报,2015,36(11):35-38.
    [24]
    张惠,张彬. 空巢老年高血压患者自我管理影响因素的中介模型[J]. 大理大学学报,2021,6(4):80-84.
    [25]
    王鹤,翟清存. 社区老年高血压患者健康知识、自我管理现状调查及影响因素分析[J]. 中国公共卫生管理,2021,37(5):682-685.
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