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引用本文:田家利 贺艳丽 刘宇 公冶慧娟 张素.北京市房山区农村老年慢性病患者自我管理行为的研究[J].中国护理管理,2017,17(5):619-624 本文二维码信息
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北京市房山区农村老年慢性病患者自我管理行为的研究
The research on self-management behavior among rural elderly patients with chronic diseases
  
DOI:10.3969/j.issn.1672-1756.2017.05.012
中文关键词:  农村  老年  慢性病  自我管理
English Keywords:rural  elderly  chronic diseases  self-management
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作者单位
田家利 贺艳丽 刘宇 公冶慧娟 张素 北京大学护理学院100191(田家利刘宇公冶慧娟)北京市房山区第一医院门诊(贺艳丽)北京大学人民医院内科(张素) 
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中文摘要:
      目的:调查新型农村合作医疗保险背景下的老年慢性病患者的自我管理现状并分析其相关因素。方法:便利抽样,共纳入房山区某二级甲等医院就诊的门诊患者和病房即将出院老年慢病患者204例。使用慢性病患者自我管理行为量表调查患者自我管理行为,并对相关因素进行分析。结果:农村老年慢性病患者耐力锻炼时间尚可,缺乏体能锻炼;认知症状管理行为、与医生交流的行为得分较差。不同年龄、性别、学历、慢病总种类、既往是否接受过慢病相关教育的慢病患者自我管理行为有统计学差异(P<0.05)。结论:农村老年慢性病患者的自我管理行为不良,提示医护人员应为农村老年慢性病患者开设相应的慢病自我管理教育项目,探讨多元化自我管理模式。
English Summary:
      Objective: The research aims to understand the meaning of self-management in elderly patients with chronic diseases from the perspectives of under new rural cooperative medical insurance. Methods: Totally 204 elderly patients with chronic disease were recruited from outpatient and ward of a second level hospital in Fangshan district by convenience sampling. Self-management behaviors of patients with chronic disease were estimated by Self-management Behavior Scale. Results: Elderly patients were lack of physical exercises; duration of exercise was well enough. The scores of cognitive symptom management and communication with physicians were poor. Age, gender, education, disease type, disease education were related to patients' self-management behaviors (P<0.05). Conclusion: Self-management behaviors of rural elderly patients with chronic diseases were poor. Education in strategies to implement self-management is needed for rural elderly patients.
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