Factors Associated with Women's Chronic Disease Management: Associations of Healthcare Frustrations, Physician Support, and Self-Care Needs.
Factors Associated with Women's Chronic Disease Management: Associations of Healthcare Frustrations, Physician Support, and Self-Care Needs.
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与女性慢性病管理相关的因素：医疗保健挫折、医生支持和自我护理需求的关联。
DOI：
10.1155/2013/982052
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发表时间：
2013
影响因子：
4.7
通讯作者：
Miles,ToniP
中科院分区：
文献类型：
--
作者：
Smith,MatthewLee;Ory,MarciaG;Ahn,Sangnam;Miles,ToniP
先前的研究强调了减少医疗挫折和加强医生支持的重要性，以帮助患者参与推荐的医疗保健方案。然而，对于这些因素如何与老年妇女的自我护理行为知识相关联，我们所知甚少。本研究调查了社会人口统计学、健康指标、医疗保健相关的挫折，以及与中老年成年女性自我报告的需要帮助学习如何更好地照顾自己健康相关的医生支持的看法。数据分析来自287名患有一种或多种慢性疾病的女性，她们完成了国家老龄化委员会（NCOA）慢性护理调查。建立了逻辑回归模型。非白人女性（OR = 2.26，P= 0.049）更可能需要学习如何更好地管理自己的健康。那些接受过大学或以上教育（or = 0.55，P= 0.044）、较低的医疗保健相关挫折（or = 0.44，P= 0.017）和认为有更多医生支持（or = 0.49，P= 0.033）的人不太可能需要帮助学习如何更好地管理自己的健康。研究结果可为临床内外中老年妇女循证自我管理方案的规划、实施、评估和传播提供参考。
Previous research emphasizes the importance of reducing healthcare frustrations and enhancing physician supports to help patients engage in recommended healthcare regimens. However, less is known about how these factors are associated with aging women’s knowledge about self‐care behavior. This study examined the sociodemographics, health indicators, healthcare‐related frustrations, and perceptions of physician support associated with middle‐aged and older adult females’ self‐reported need for help to learn how to take better care of their health. Data were analyzed from 287 females with one or more chronic conditions who completed The National Council on Aging (NCOA) Chronic Care Survey. A logistic regression model was developed. Women who were non‐White (OR = 2.26,P= 0.049) were more likely to need help learning how to better manage their health. Those who had some college education or more (OR = 0.55,P= 0.044) and lower healthcare‐related frustrations (OR = 0.44,P= 0.017) and perceived to have more physician support (OR = 0.49,P= 0.033) were less likely to need help learning how to better manage their health. Findings can inform the planning, implementation, assessment, and dissemination of evidence‐based self‐management programs for middle‐aged and older women within and outside of clinical settings.