山东省社区老年人慢性病自我管理系统脆弱性影响因素分析

BackgroundChronic diseases have the characteristics of long course and prolongation, and the increase in incidence seriously threatens people's physical and mental health. At present, although some researchers have discussed the influencing factors of the incidence of chronic diseases, there are few studies on the influencing factors of chronic diseases managed by the elderly themselves. ObjectiveTo understand the factors affecting the vulnerability of the self-management system of chronic disease in community-based elderly in Shandong Province, and to provide a theoretical basis for improving the self-management level of chronic disease in community-based elderly.MethodsA multi-stage stratified random sampling method was used to sample 2650 elderly people over the age of 65 in Shandong Province for a questionnaire survey, and the main influencing factors were identified by comprehensive univariate analysis and multiple stepwise regression analysis.ResultsIn the sensitivity dimension, the influencing factors such as personal characteristics, occupational types, and economic status of the elderly in the community were statistically significant. In the dimension of coping ability, the influencing factors such as self-monitoring, self-cognition, and self-discipline were statistically significant.ConclusionThe vulnerability of chronic disease self-management systems for the elderly in the community is influenced by a variety of factors. Activities that include strengthening community health education can be carried out to change the health perceptions of the elderly themselves; Carry out activities to respect and love the elderly and create a good atmosphere for the elderly; Targeted measures such as improving the community's own service capacity and providing more accurate health services to reduce the vulnerability of the chronic disease self-management system for the elderly in the community.