目的 探讨社区老年高血压患者的自我效能、自我管理行为状况及两者之间的关系.方法 应用<慢性病自我管理研究测量表>中的自我效能量表、自我管理行为量表对254名社区老年高血压患者进行调查.结果 社区老年高血压患者的自我效能较稳定,自我管理行为中运动锻炼时间较长,认知性症状管理实践、与医生的交流得分较低,自我效能与自我管理行为呈显著正相关(P<0.01).结论 社区老年高血压患者的自我管理行为需要改善,自我管理行为与自我效能关系密切,可通过健康教育提高患者的自我效能,进而改善其自我管理行为.%Objective To study the relationship between the self-efficacy and self-management behaviors of the elder hypertensive in the community. Methods Chronic disease self-efficacy scale and self-management behaviors measuring scale were used to investigate the self-efficacy and self-management behaviors of the 254 elder hypertensive in the community. Results The self-efficacy of the elder hypertensive in the community was stable, and the time spent on physical exercises were relatively long in self-management behaviors among the elder hypertensive in the community. The scores of cognitive symptom management practice and communication with doctors were relatively low. There was a positive and significant relationship between self-efficacy and self-management behaviors of the elder hypertensive in the community (P ＜ 0. 01 ). Conclusions Self-management behaviors need to be improved, and the self-management behavior is related to their selfefficacy. Health education is benefit for improving self-efficacy and self-management behaviors.
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