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| Status and influencing factors for self-efficacy among the elderly with hypertension in Zhoushan City |
| LIU He*，HE Song-cai，SHEN Fei-lun，FANG Yue-wei，WU Qing-qing
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| *Zhejiang Provincial Center for Disease Control and Prevention，Hangzhou，Zhejiang 310051，China |
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Abstract Objective To investigate the level and influencing factors for self-efficacy among elders with hypertension in Zhoushan and to provide the reference for improving the self-efficacy of elders with hypertension.Methods The stratified sampling method was used to select elders with hypertension from 4 streets（townships）in urban and rural of Zhoushan in 2016. Four communities were selected from each street（townships）as sample units and using the random sampling to select 50 patients from every community. The investigation was performed with unified questionnaire. The influencing factors for self-efficacy were analyzed with logistic regression.Results The average score of the self-efficacy was 34.13±5.17. Among the investigated 738 elders with hypertension，more than half of them were scored 1ess than 2 in two items，which were blood pressure monitoring（86.99%）and persistent physical exercise（50.95%）. Scoring index of compliance behavior of hypertension was the lowest，only 63.93%. By multivariate logistic regression analysis，those patients who were female（OR=2.34，95%CI：1.55-3.53），educated（ORprimary=1.72，95%CI：1.09-2.69；ORjunior =2.25，95%CI：1.13-4.46；ORsenior and above=2.46，95%CI：1.06-5.71），with high level of drug compliance（ORmedium=1.72，95%CI：1.09-2.69；ORhigh=2.12，95%CI：1.38-3.26）were more likely to get high level of self-efficacy. Patients who monitored blood pressure only uncomfortable were more likely to get low level of self-efficacy（OR=0.22，95%CI：0.08-0.68）.Conclusion More than half of community-dwelling elders with hypertension had a middle level self-efficacy in Zhoushan，who need further improvement. Corresponding interventions should be developed to strengthen the self-efficacy，which can help patients improve self-management of hypertension and establish a healthy life style.
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Published: 26 March 2018
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[1] 中华人民共和国国家卫生和计划生育委员会. 2016中国卫生和计划生育统计年鉴[M] . 北京：中国协和医科大学出版社，2016：252.
[2] 俞敏，叶真. 慢性病预防控制对策展望[J] . 浙江预防医学，2014，26（1）：1-4.
[3] HUANG G，XU J B，ZHANG T J，et al. Prevalence，awareness，treatment，and control of hypertension among very elderly Chinese：results of a community-based study[J] . J Am Soc Hypertens，2017，11（8）：503-512.
[4] SMEDSLUND J. Bandura's theory of self-efficacy：A set of common sense theorems[J] . Scandinavian Journal of Psychology，1978， 19（1）：1-14.
[5] WARREN-FINDLOW J，SEYMOUR R B，BRUNNER HUBER L R. The association between self-efficacy and hypertension self-care activities among African American adults[J] . Journal of Community Health，2011，37（1）：15-24.
[6] 中国高血压防治指南修订委员会. 中国高血压防治指南2010[J] . 中华心血管病杂志，2011，39（7）：701-708.
[7] 李剑. 社区高血压患者药物治疗依从性及其影响因素分析[J] . 中国老年保健医学，2016，14（2）：49-51.
[8] 杨碧萍，刘雪琴. 高血压患者自我效能的调查分析[J] . 护理学报，2007，14（4）：15-17.
[9] 于晓静，赵影，祝友元，等. 社区高血压患者综合健康管理认知、遵医行为及需求的调查[J] . 中华全科医学，2014，12（12）：1983-1985.
[10] 王红菊. 老年高血压患者的遵医行为调查分析以及护理措施观察[J] . 现代诊断与治疗，2015，26（11）：2629-2630.
[11] 胡淑春，胡淑玉，明蕾. 健康教育对老年高血压患者遵医行为的影响[J] . 齐鲁护理杂志，2015，21（19）：116-117.
[12] 赵惠娟. 系统健康教育对老年高血压患者遵医行为的影响[J] . 中国保健营养，2015，25（9）：332-333.
[13] 宁晓东，郑翠红，李华萍，等. 社区老年高血压患者自我效能水平及其影响因素分析[J] . 中国护理管理，2011，11（5）：36- 39.
[14] 林霄峰，戴海龙，光雪峰. 高血压患者服药依从性的研究进展[J] . 中国心血管病研究，2015，13（3）：202-203.
[15] 代雅琪，陶晶晶，裴大军，等. 不同性别高血压病人发生抑郁情况分析[J] . 护理研究，2017，31（8）：980-982.
[16] 赵加奎，杨文洁，朱燕红，等. 社区高血压患者自我效能水平及影响因素分析[J] . 健康教育与健康促进，2015，10（6）：407-410.
[17] 熊敏，郑红，郭伟斌. 自我效能理论在高血压患者延续护理中的应用[J] . 国际医药卫生导报，2015，21（1）：108-110. |
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