ABSTRACT
Objective To investigate the level and influencing factors for self-efficacy among elders with hypertension in Zhoushan and to provide the reference for improving the self-efficacy of elders with hypertension. Methods The stratified sampling method was used to select elders with hypertension from 4 streets (townships) in urban and rural of Zhoushan in 2016. Four communities were selected from each street (townships) as sample units and using the random sampling to select 50 patients from every community. The investigation was performed with unified questionnaire. The influencing factors for self-efficacy were analyzed with logistic regression. Results The average score of the self-efficacy was 34.13±5.17. Among the investigated 738 elders with hypertension, more than half of them were scored 1ess than 2 in two items, which were blood pressure monitoring (86.99％) and persistent physical exercise (50.95％) . Scoring index of compliance behavior of hypertension was the lowest, only 63.93％ . By multivariate logistic regression analysis, those patients who were female (OR=2.34, 95％ CI: 1.55-3.53) , educated (ORprimary=1.72, 95％ CI: 1.09-2.69; ORjunior =2.25, 95％ CI: 1.13-4.46;ORsenior and above=2.46, 95％ CI: 1.06-5.71), with high level of drug compliance (ORmedium=1.72, 95％CI: 1.09-2.69; ORhigh=2.12, 95％ CI: 1.38-3.26) were more likely to get high level of self-efficacy. Patients who monitored blood pressure only uncomfortable were more likely to get low level of self-efficacy (OR=0.22, 95％ CI: 0.08-0.68) . Conclusion More than half of community-dwelling elders with hypertension had a middle level self-efficacy in Zhoushan, who need further improvement. Corresponding interventions should be developed to strengthen the self-efficacy, which can help patients improve self-management of hypertension and establish a healthy life style.
ABSTRACT
Objective To analysis the metabolic index among diabetic patients in community in summer and winter,and to provide evidence for disease management.Methods During June and December,119 diabetic patients were seleted from communities living for more than a year by the method of stratified cluster sampling.The metabolic indexes were compared usingpaired t test ,and the rate of biochemical indicators were analyzed by McNemar 's test between two seasons .Results The values of HbA1c,GLU and HDL -C were higher in winter than in summer (P <0.01).The mean values of TC in summer and winter were the same.The detection values of triglyceride and low density lipoprotein were lower in winter than in summer,but the difference was not statistically significant (P >0.05 ).The control rate of HbA1c was 56.36% in summer,and the control rate was 44.54% in winter,the difference was statistically significant (P <0.05).In summer, the control rate was 59.66%,higher than 45.38% in winter,and the difference was statistically significant (P <0.05). The control rate of blood pressure was better than that in winter,while triglyceride and low density lipoprotein control was better than that in summer,but which was not statistically significant (P >0.05).Conclusion The metabolic index of diabetic patients in Zhoushan urban community was significantly affected by seasonal changes.Most indexes were better in summer than that in winter,which suggested that the intervention of diabetics should be enhanced in winter.
ABSTRACT
Objective To explore the relationship of height,weight and body mass index with fists size among adults,and to compare the regression coefficient of different models.Methods Adults aged 20 -80 years were selected by stratified cluster sampling methods.T -test and univariate analysis of variance were used to compare the height,weight and fists size stratified by gender and BMI group.Regression model for fists volume was established.The regression coefficients were compared through covariance interaction analysis.Results The height,weight,BMI and fists size of male were higher than that of female (P <0.01 ).The regression model for fists size(Y)of BMI(X)for male,female and total population were Y=1 67.603 +9.445X,Y =1 1 1 .1 83 +7.779X and Y =77.1 57 +1 1 .028X(R2 =0.324,0.322,0.271 ,P <0.05).Fists size of different BMI groups were related to their height (R2 =0.501 ,0.432,0.624,0.692,P <0.05),respectively, and their regression coefficients have no statistically differences (P =0.07).The fists sizes of different BMI groups were different(P <0.01 ).Fists size of overweight or obesity groups (365.641 ±68.51 4,365.641 ±68.51 4,respectively)were larger than that of the normal and slim groups(P <0.01 ),and fists size of normal body (31 4.261 ±59.590)was larger than that of slim body(261 .081 ±59.478).Conclusion The fists sizes of male were higher than that of female.Fists size was positively related to their BMI.The height had the some impact on fists size among people in different BMI groups.