摘要目的 探讨"三师共管"模式下厦门农村社区高血压患者自我效能水平,并分析影响因素.方法 采用一般资料问卷、高血压患者自我效能评价表对245例农村社区高血压患者进行研究.结果 自我效能得分为(29.59±3.69)分,其中48.6%(119/245)的患者具有较高水平的自我效能,45.7%(112/245)的患者具有中等水平,仍有5.7%(14/245)的患者自我效能水平低下;各维度得分指标由高到低依次为:药物治疗71.92%,健康行为68.67%,日常生活65.50%,遵医行为62.33%;多元逐步回归显示,性别、家庭年收入是影响患者自我效能水平高低的因素,可解释13.3%的变异量.结论 "三师共管"模式下厦门农村社区高血压患者自我效能居于中等水平,接近较高水平,但仍需提高,应重点对男性和家庭年收入在5万元以下的患者进行宣教干预,帮助他们提高自我效能水平,有效控制血压.

abstractsObjective To investigate the current status and influencing factors of self-efficacy in patients from rural area of Xiamen with hypertension in the model of "Three Division Co Management". Methods A total of 245 patients with hypertension were recruited and investigated with general questionnaire and Self-efficacy Assessment Scale for Hypertensive. Results The mean score of self-efficacy was 29.59 ± 3.69. Among the patients, 48.6%(119/245) of them had a higher level score on self-efficacy, 45.7% (112/245) of them had the self-efficacy score at the middle level, but 5.7% (14/245) of them were at the low level. The dimensions which index of score from top to low were drug therapy (71.92%), health behavior (68.67%), daily life (65.50%) and compliance behavior (62.33%) in sequence. Multiple stepwise regression analysis showed that gender and family income were influencing factors of self-efficacy which could explain 13.3%of the variance. Conclusions In the model of"Three Division Co Management", the score of self-efficacy among the patients in rural area was at middle level, close to high level, still need to be improved. Health care workers should focus more on the patients, male and whose family income less than 50 thousand yuan per year and help them enhancing self-efficacy to control hypertension efficiently.