PDF(Pubmed)
Abstract：
BACKGROUND: Under the general trend of global aging, geriatric comorbidity is increasingly common, which may have some impact on the quality of life of the older people. Self-management can effectively improve patient compliance, subjective initiative, and improve patient quality of life. However, the present situation of self-management in different old people is different. Therefore, this study classifies older co-morbid patients through potential profiling analysis, understands the category characteristics of self-management level of older co-morbid patients, and discusses the influencing factors of self-management level of different categories of older co-morbid patients, which can provide reference for personalized intervention programs for different comorbidity characteristics of elderly people in the future. METHOD: Through a cross-sectional study, 616 cases of older co-morbid patients in three districts of Zhengzhou City, Henan Province, were selected as survey subjects by using the whole cluster sampling method. The General Information Questionnaire, Chronic Disease Self-Management Scale, Health Literacy Scale, Electronic Health Literacy Scale, Collaborative Social Support Scale, and Health Empowerment Scale were used to conduct the survey.
RESULTS: The result of LPA shows that the self-management characteristics of older co-morbid patients should be classified into 3 categories: good self-management (19.4%), medium self-management(27.9%), and low self-management (52.7%). The results of multivariate logistic regression analyses show that literacy, religiosity, health literacy, e-health literacy, appreciative social support, and health empowerment are influential factors for self-management among older co-morbid patients (p < 0.05).
CONCLUSIONS: There is obvious heterogeneity in the self-management level of older co-morbid patients. It is recommended that healthcare professionals give targeted interventions for their weaknesses according to the self-management characteristics of different categories of patients in order to enhance the self-management level of this population and improve their quality of life.
RESULTS: The result of LPA shows that the self-management characteristics of older co-morbid patients should be classified into 3 categories: good self-management (19.4%), medium self-management(27.9%), and low self-management (52.7%). The results of multivariate logistic regression analyses show that literacy, religiosity, health literacy, e-health literacy, appreciative social support, and health empowerment are influential factors for self-management among older co-morbid patients (p < 0.05).
CONCLUSIONS: There is obvious heterogeneity in the self-management level of older co-morbid patients. It is recommended that healthcare professionals give targeted interventions for their weaknesses according to the self-management characteristics of different categories of patients in order to enhance the self-management level of this population and improve their quality of life.
摘要：
背景：在全球老龄化的大趋势下，老年病合并症越来越普遍，这可能会对老年人的生活质量产生一些影响。自我管理能有效提高患者依从性,主观能动性,提高患者的生活质量。然而,不同老年人的自我管理现状不同。因此,这项研究通过潜在谱分析对老年共病患者进行分类，了解老年共病患者自我管理水平的类别特征，探讨不同类别老年共病患者自我管理水平的影响因素,为今后针对老年人不同合并症特征的个性化干预方案提供参考。方法：通过横断面研究，郑州市三区616例老年共病患者,河南省,采用整群抽样的方法选择为调查对象。一般信息问卷，慢性病自我管理量表,健康素养量表，电子健康素养量表,合作社会支持量表，采用健康赋权量表进行调查。
结果：LPA的结果表明，老年共病患者的自我管理特征应分为3类：良好的自我管理（19.4％），中等自我管理(27.9%)，和低自我管理(52.7%)。多元逻辑回归分析的结果表明，识字，宗教信仰,健康素养,电子健康素养，感激的社会支持，健康授权是老年共病患者自我管理的影响因素(p<0.05)。
结论：老年共病患者的自我管理水平存在明显异质性。建议医护人员根据不同类别患者的自我管理特点，对其弱点给予有针对性的干预措施，以提高该人群的自我管理水平，提高其生活质量。
结果：LPA的结果表明，老年共病患者的自我管理特征应分为3类：良好的自我管理（19.4％），中等自我管理(27.9%)，和低自我管理(52.7%)。多元逻辑回归分析的结果表明，识字，宗教信仰,健康素养,电子健康素养，感激的社会支持，健康授权是老年共病患者自我管理的影响因素(p<0.05)。
结论：老年共病患者的自我管理水平存在明显异质性。建议医护人员根据不同类别患者的自我管理特点，对其弱点给予有针对性的干预措施，以提高该人群的自我管理水平，提高其生活质量。
