ABSTRACT
Objective:To clarify the influence and influence paths of stigma on the time of the healthcare-seeking decision in caregivers of elderly patients with dementia, and to provide a theoretical basis for the construction of corresponding humanistic care strategies.Methods:A total of 176 caregivers of elderly patients with dementia who visited the Affiliated Hospital of Xuzhou Medical University and Xuzhou Oriental People ′s Hospital from February 2021 to February 2022 were selected as the study subjects. The General Information Questionnaire, self-designed Scale of Stigma for Caregivers of Senile dementia patients, Multidimensional Scale of Perceived Social Support, self-designed Elderly Dementia Caregivers′ Perceived Barriers Scale for Healthcare-seeking Decision, and self-designed Scale of the Intention to Seek Healthcare for caregivers of senile dementia patients were used in the survey. AMOS 20.0 was used to establish a structural equation model for path analysis. Results:The higher the stigma of caregivers, the longer the time of the healthcare-seeking decision ( β=0.05, P<0.05). Social support, perceived barriers to the healthcare-seeking decision, and the intention to seek healthcare were the mediating variables of caregivers ′ stigma affecting the time of the healthcare-seeking decision, with a total effect of -0.04, 0.14, and 0.36, respectively, and all P<0.05. Conclusions:The stigma in caregivers of senile dementia patients is an important factor affecting the time of the healthcare-seeking decision. By improving mediating factors including social support, perceived barriers to the healthcare-seeking decision, and the intention to seek healthcare, the implementations of targeted humanistic care strategies are expected to help shorten the time of the healthcare-seeking decision.
ABSTRACT
Objective:To analyze the factors and problems of health self-evaluation on their healthcare seeking decision for hypertension patients, and to provide the relevant suggestions and strategies for improving their health quality of life. Methods:Data from the 2016 Residents Dynamic Monitoring Survey of Health Service Utilization,u-sing the Anderson's Behavioral model as the theoretical basis, This study examined the predisposing, enabling, and need factors that determine the Single factor analysis,and construct the logistic regression model to analyze main fac-tors affecting medical treatment decisions in patients with hypertension. Results:During multi -factor analysis about the factors chiefly selected were age,urban and rural, commercial medical insurance,annual income,VAS,self-care ability. Conclusion:Enabling factor is the main factor affecting medical decision-making in patients with hyperten-sion;hypertension health self-evaluation on their medical decisions have important effect;hypertension patients with different demographic characteristics tendency to seek different medical treatments,and factors of need to promote the behavior of hypertension. It is suggested that policy makers should pay attention to the healthy self-evaluation of pa-tients with hypertension,the problems of depression and anxiety in hypertensive patients,and to improve the utiliza-tion of medical services of patients with hypertension in urban and rural areas.