The current status and influencing factors of self-efficacy in patients from rural area of Xiamen with hypertension in the model of "Three Division Co Management" / 中国实用护理杂志

ABSTRACT

Objective To investigate the current status and influencing factors of self-efficacy in patients from rural area of Xiamen with hypertension in the model of "Three Division Co Management". Methods A total of 245 patients with hypertension were recruited and investigated with general questionnaire and Self-efficacy Assessment Scale for Hypertensive. Results The mean score of self-efficacy was 29.59 ± 3.69. Among the patients, 48.6%(119/245) of them had a higher level score on self-efficacy, 45.7% (112/245) of them had the self-efficacy score at the middle level, but 5.7% (14/245) of them were at the low level. The dimensions which index of score from top to low were drug therapy (71.92%), health behavior (68.67%), daily life (65.50%) and compliance behavior (62.33%) in sequence. Multiple stepwise regression analysis showed that gender and family income were influencing factors of self-efficacy which could explain 13.3%of the variance. Conclusions In the model of"Three Division Co Management", the score of self-efficacy among the patients in rural area was at middle level, close to high level, still need to be improved. Health care workers should focus more on the patients, male and whose family income less than 50 thousand yuan per year and help them enhancing self-efficacy to control hypertension efficiently.