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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。
Objective: To investigate the status quo of self-management of elderly patients with chronic diseases in the context of new rural cooperative medical insurance and analyze its related factors. Methods: A total of 204 outpatients and outpatients with chronic dementia who were expected to be discharged from outpatients in a Class A first-class hospital in Fangshan District were enrolled in this study. The self-management behavior scale of patients with chronic diseases was used to investigate the self-management behaviors of patients and the related factors were analyzed. Results: The elderly patients with chronic diseases in endurance exercise time is acceptable, lack of physical exercise; cognitive behavior management behavior, poor communication with the doctor behavior score. There were significant differences in self-management behavior among different age, gender, educational level, total types of chronic diseases, and chronic disease-related education in the past (P <0.05). Conclusion: The poor self-management behavior of elderly patients with chronic diseases in rural areas suggests that health care workers should set up self-management education programs for chronic disease patients in rural areas and explore diversified self-management models.