Research on the current status and influencing factors of consumer health activation index in hospitalized elderly patients with multiple chronic conditions
10.3761/j.issn.0254-1769.2025.14.009
- VernacularTitle:住院老年慢性共病患者健康积极指数现状及影响因素研究
- Author:
Yunfeng ZHAO
1
;
Rui LIU
;
Min WU
;
Caijie XU
;
Wenmin ZHANG
;
Yue WANG
;
Aihong PAN
Author Information
1. 230012 合肥市 安徽中医药大学护理学院
- Publication Type:Journal Article
- Keywords:
Aged;
Multiple Chronic Conditions;
Consumer Health Activation Index;
Questionnaire;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(14):1716-1722
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore and analyze the current situation of consumer health activation index and its influencing factors in hospitalized elderly patients with multiple chronic conditions,and to provide reference basis for clinical intervention.Methods Convenience sampling method was used to select 332 hospitalized elderly patients with multiple chronic conditions from a tertiary hospital in Hefei City from July to December 2024 as the study subjects,and general information questionnaire,Consumer Health Activation Index,Health Literacy Management Scale,Scale of the Elderly Self-neglcet(Rural),and Perceived Social Support Scale were used to investigate the current situation of consumer health activation index of hospitalized elderly patients with multiple chronic conditions.Univariate analysis and multiple linear regression analysis were employed to explore the influencing factors of consumer health activation index in patients with multiple chronic conditions.Results A total of 332 questionnaires were distributed,and 325 valid questionnaires were retrieved.The score of the consumer health activation index of hospitalized elderly patients with multiple chronic conditions was(61.68±15.12).The results of multiple linear regression showed that literacy,average monthly household income,number of chronic diseases,medication frequency,self-care ability,health literacy management,perceived social support and self-neglect were the influencing factors for the positivity of hospitalized elderly patients with multiple chronic conditions(P<0.05),which could explain 59.9%of the variance of the consumer health activation index of hospitalized elderly patients with multiple chronic conditions.Conclusion The consumer health activation index of hospitalized elderly patients with multiple chronic conditions is at a low level.In the future,precise and systematic intervention measures for enhancing positive health status can be formulated by taking into account relevant influencing factors,in order to promote the transformation of patients from passive health to active health,and thereby facilitating positive aging.