农村地区高血压患者心理弹性对其健康行为能力的影响研究

摘要

目的 调查了解农村地区高血压患者健康行为能力的临床现状,并分析心理弹性对其的影响.方法 采用中文版健康行为能力白评量表和心理弹性量表通过便利抽样的方法,调查2016年3月～2017年5月在攀钢集团总医院诊疗的189例农村地区高血压患者.结果 189例高血压患者健康行为能力的平均得分为(70.86±12.01)分,心理弹性的平均得分为(68.90±9.15)分,二者各维度得分均呈正相关(P＜0.05).多元线性回归分析结果示,除文化程度和高血压病程以外,心理弹性各维度也对患者健康行为能力具有正性预测作用(P＜0.05).结论 农村地区高血压患者健康行为能力相对较差,临床护士应重点关注低文化程度及初诊患者,并注意提升个体的心理弹性,以改善其健康行为能力和临床治疗效果.%Objective To investigate the clinical status of the healthy behavior ability of hypertensive patients in rural areas,in order to analyze the effect of psychological elasticity on them.Methods The Chinese version of the self rating health checklist and Resilience Scale were used to investigate 189 rural hypertensive patients in Pangang Gpoup General Hospital from March 2016 to May 2017.Results The average score of health behaviors of the 189 cases was (70.86± 12.01)Points,and the average score of resilience was (68.90±9.15) points,and the scores of each dimension were posi tively correlated (P ＜ 0.05).The results of multiple linear regression analysis showed that,besides the degree of culture and the course of high blood pressure,the dimensions of mental resilience also had positive predictive effects on the patients' healthy behavior (P ＜ 0.05).Conclusion Hypertension patients in rural areas have relatively poor health behavior ability.Clinical nurses should focus on low level of education and newly diagnosed patients,and pay attention to enhance their resilience,so as to improve their health behavior and clinical effect.