| 马良玉.老年下肢动脉疾病患者疾病感知的调查研究[J].上海护理,2020,20(S1): |
| 老年下肢动脉疾病患者疾病感知的调查研究 |
| Investigation of illness Perception in elderly Patients with Lower Extremity Arterial Disease |
| DOI： |
| 中文关键词: 下肢动脉疾病、疾病感知、老年 |
| 英文关键词:Lower extremity arterial disease , illness perception,elderly patient |
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| 中文摘要: |
| 目的 评估老年下肢动脉疾病（LEAD）患者对疾病的认知水平，分析其影响因素,以期为进一步开展针对性的健康指导,提高其治疗依从性提供依据。方法 选取2018年10月-2019年3月在上海交通大学医学院附属仁济医院就诊的LEAD患者，采用一般资料问卷和中文版疾病感知问卷修订版（IPQ-R）进行测评。采用t检验、单因素方差分析和多元线性回归分析老年LEAD患者的疾病感知情况。结果 患者识别度最高的症状是间歇性跛行（70.59%)，识别度最低的症状是由坐姿起立时间延长（7.84%）及关节僵硬（7.84%）。疾病认知评价中，得分得分最高的是反复性（3.78±0.60）；最低的是个人控制（2.81±0.36）。疾病归因中选择最多的病因是“自然的老化过程”（4.31±0.645），情绪、心态、性格及家庭烦恼是得分较少的病因项。多元回归分析显示年龄、文化程度、患病时间、相关手术史和疾病后步行每日时间为疾病认知影响因素。结论 老年LEAD患者对疾病早期症状识别不够，并持有不正确的病因观，医护人员应根据相关影响因素提供针对性的健康教育，提高患者依次性，积极治疗疾病。 |
| 英文摘要: |
| Object To assess the cognitive level of elderly patients with lower extremity arterial disease (LEAD), analyze its influencing factors, and hope to provide a basis for further targeted health guidance and improve their treatment compliance.Methods The general information questionnaire and the Chinese version of the disease perception questionnaire (IPQ-R) were used to evaluate LEAD patients who were admitted to Renji Hospital affiliated to Shanghai Jiao Tong University School of Medicine from October 20 to March 2019.The t test, single factor analysis of variance and multiple linear regression were used to analyze the disease perception of elderly LEAD patients.Results The most recognizable symptom was intermittent claudication (70.59%), and the least recognizable symptom was prolonged sitting up time (7.84%) and joint stiffness (7.84%). In the disease cognition evaluation, the highest score is repetitiveness (3.78±0.60); the lowest is personal control (2.81±0.36). The most selected cause of disease attribution is the "natural aging process" (4.31±0.645), and emotions, mentality, personality and family troubles are the causes with fewer scores.Multiple regression analysis showed that age, education level, course of illness, related operation history and daily time of walking after illness were influencing factors of disease cognition.Conclusion Elderly patients with LEAD do not recognize the early symptoms of the disease and hold an incorrect view of the etiology. Medical staff should provide targeted health education based on relevant influencing factors, improve patient order, and actively treat the disease. |
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