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老年糖尿病患者人文关怀体验与健康行为能力的相关分析

Analysis of the correlation between humanistic care experience and health behavior ability in elder patients with diabetes mellitus

摘要目的? 探讨老年糖尿病患者人文关怀体验与健康行为能力的关系.方法? 采用便利抽样法选取2015年6月—2017年6月于扬州大学附属医院门诊就诊或住院治疗的老年糖尿病患者208例,采用中文版慢性病患者人文关怀体验量表(NHCES-NCDP)和中文版健康行为能力自评量表(SRAHP)评估患者的人文关怀体验水平与健康行为能力水平,并分析两者的相关性.结果? 老年糖尿病患者NHCES-NCDP得分(68.64±7.27)分,得分最低的维度为个人独特性的支持,条目均分(2.60±0.30)分;SRAHP得为(55.40±4.80)分,得分最低的维度为营养(12.25±2.00)分.Pearson相关分析显示,NHCES-NCDP总分及各维度得分与SRAHP总分及各维度得分均呈正相关(P<0.05);多元线性回归分析显示,人文关怀体验水平是老年糖尿病患者健康行为能力水平的影响因素(P<0.01).结论? 老年糖尿病患者的人文关怀体验与健康行为能力均较低,提高人文关怀体验水平有助于提高患者的健康行为能力.

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abstractsObjective? To investigate the correlation between nursing humanistic care and health behavior ability in elder patients with diabetes mellitus (DM). Methods? From June 2015 to June 2017, a total of 208 elder patients with DM in Affiliated Hospital of Yangzhou University were selected by convenience sampling method. The levels of nursing humanistic care and health behavior ability were evaluated by Nursing Humanistic Care Experience Scale-Noninfectious Chronic Disease Patients Version (NHCES-NCDP) and Self-Rated Abilities for Health Practices Scale (SRAHP). Results? The average score of NHCES-NCDP was (68.64±7.27), and the lowest dimension score was support for individual uniqueness (2.60±0.30). The SRAHP average score was (55.40±4.80), the lowest dimension score was nutrition (12.25±2.00). Pearson correlation analysis showed that the total score and dimension scores of NHCES-NCDP were positively correlated with total score and the dimension scores of SRAHP (P< 0.05). Multivariate linear regression showed that the level of nursing humanistic care were the influencing factor for health behavior ability (P<0.01). Conclusions? The levels of nursing humanistic care and health behavior ability in elder patients with DM is low. Improving the level of nursing humanistic care can improve the patient's health behavior ability.

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