上海市≥<b>50</b>岁中老年聋人慢性病自我管理行为的现状及影响因素

刘梦婷; 魏晓敏; 王继伟

doi:10.19428/j.cnki.sjpm.2023.23032

上海市≥50岁中老年聋人慢性病自我管理行为的现状及影响因素

Current status and influencing factors of chronic disease self-management behavior of middle-aged and elderly deaf people aged 50 years and over in Shanghai

摘要

摘要:
目的了解上海市≥50岁中老年聋人的慢性病自我管理行为现状及影响因素，为提高≥50岁中老年聋人慢性病自我管理行为水平提供依据。
方法于2021年9月—2022年2月对上海市271名≥50岁中老年聋人采用自行设计的一般资料问卷、慢性病自我管理行为量表（CDSSM）、慢性病自我效能量表、社会资本量表、医院焦虑和抑郁量表（HADS）、健康困扰量表进行面对面调查。
结果上海市≥50岁中老年聋人慢性病自我管理行为得分为（32.107±7.527）分。性别、手机搜索健康知识频率、是否吃水果、自我效能水平、社会资本是慢性病自我管理行为的影响因素，可解释慢性病自我管理行为水平37.04%的变异量。
结论 ≥50岁中老年聋人的慢性病自我管理行为水平较低，亟须提高。可通过提高其自我效能、改善社会资本拥有水平、养成良好的生活习惯等方式，促进≥50岁中老年聋人形成良好的慢性病自我管理行为。

Abstract:
Objective To investigate the current status and influencing factors of chronic disease self-management behavior of middle-aged and elderly deaf people aged 50 years and over in Shanghai， and to provide reference for improving their chronic disease self-management behavior.
Methods During September 2021 to February 2022， 271 middle-aged and elderly deaf people aged 50 years and over in Shanghai were investigated face-to-face by general questionnaire， chronic disease self-management study measures， self-efficacy scale， social capital questionnaire， hospital anxiety and depression scale， health disturbance scale.
Results The mean score of chronic disease self-management behavior was 32.107±7.527. Gender， frequency of searching health knowledge by mobile phone， whether to eat fruit， self-efficacy and social capital were influencing factors of chronic disease self-management behaviors， which could explain 37.04% of the variance.
Conclusion The chronic disease self-management behavior of the middle-aged and elderly deaf people aged 50 years and over is low and needs to be improved. We can promote the middle-aged and elderly deaf people to form the good self-management behavior by improving their self-efficacy， improving their level of social capital and forming good living habits.

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