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| 中老年慢性病患者共享决策现状及其与健康焦虑、慢性病资源利用及自我效能感的相关性研究 |
| A Study on the Current Status of Shared Decision-Making Among Middle-Aged and Older Patients with Chronic Diseases and Its Correlation with Health Anxiety, Utilisation of Chronic Disease Resources, and Self-Efficacy |
| 投稿时间：2026-04-15 修订日期：2026-09-14 |
| DOI： |
| 中文关键词: 中老年患者 慢性病 共享决策 健康焦虑 慢性病资源利用 慢性病自我效能感 |
| 英文关键词: middle-aged and elderly patients chronic diseases shared decision-making health anxiety utilisation of chronic disease resources self-efficacy for chronic diseases |
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| 中文摘要: |
| 目的 调查中老年慢性病患者共享决策现状，并分析其与健康焦虑、慢性病资源利用及自我效能感的相关性。方法 采用便利抽样法，选择2025年1月~2026年3月皖南医科大学第一附属医院（弋矶山医院）、合肥市第二人民医院和浙江大学医学院附属第二医院共886名中老年慢性病患者作为调查对象，采用一般资料调查表、健康焦虑量表、慢性病资源利用量表和慢性病自我效能感量表进行调查。结果 中老年慢性病患者共享决策总得分为71.11(60.00,80.00)分，健康焦虑得分为21.00(16.00,27.00)分、慢性病资源利用得分为57.00(52.00,61.00)分、慢性病自我效能感得分为40.00(35.00,44.00)分；相关性分析显示共享决策与健康焦虑呈负相关(r=-0.282,P<0.01)；与慢性病资源利用和慢性病自我效能感呈正相关(r=0.229,P<0.01、r=0.305,P<0.01)；多元线性回归分析显示，互联网使用时长：6~10年(β=0.090,P＝0.028)、11~15年(β=0.171,P<0.001)、≥16年(β=0.276,P<0.001)、健康焦虑(β=-0.073,P=0.036)、慢性病资源利用(β=0.204,P<0.001)和慢性病自我效能感(β=0.156,P<0.001)是中老年慢性病患者共享决策的影响因素。结论 中老年慢性病患者共享决策处于水中等偏上水平，医护人员可采取相应措施，进一步提升中老年慢性病患者共享决策参与度，改善慢性病管理结局。 |
| 英文摘要: |
| Objective: To investigate the current status of shared decision-making among middle-aged and elderly patients with chronic diseases, and to analyse its correlation with health anxiety, utilisation of chronic disease resources, and self-efficacy. Methods: Convenience sampling was employed to select a total of 886 middle-aged and elderly patients with chronic diseases from the First Affiliated Hospital of Wannan Medical University (Yijishan Hospital), Hefei Second People’s Hospital and the Second Affiliated Hospital of Zhejiang University School of Medicine. Data were collected using a demographic questionnaire, the Health Anxiety Scale, the Chronic Disease Resource Utilisation Scale and the Chronic Disease Self-Efficacy Scale.Results: The total score for shared decision-making among middle-aged and older patients with chronic diseases was 71.11(60.00,80.00) points; the score for health anxiety was 21.00(16.00,27.00) points; the score for utilisation of chronic disease resources was 57.00(52.00,61.00) points; and the score for self-efficacy regarding chronic diseases was 40.00 (35.00,44.00) points; Correlation analysis revealed that shared decision-making was negatively correlated with health anxiety (r = ?0.282, P < 0.01); it was positively correlated with the utilisation of resources for chronic diseases and self-efficacy regarding chronic diseases (r = 0.229, P < 0.01; r = 0.305, P < 0.01); Multivariate linear regression analysis showed that duration of internet use: 6–10 years (β = 0.090, P < 0.028), 11–15 years (β = 0.171, P < 0.001), ≥16 years (β = 0.276, P < 0.001), health anxiety (β = ?0.073, P = 0.036), utilisation of resources for chronic diseases (β = 0.204, P < 0.001) and self-efficacy regarding chronic diseases (β = 0.156, P < 0.001) are factors influencing shared decision-making among middle-aged and older patients with chronic diseases.Conclusion: Shared decision-making among middle-aged and elderly patients with chronic diseases is at a slightly above-average level. Healthcare professionals may implement appropriate measures to further enhance the participation of these patients in shared decision-making and improve chronic disease management outcomes. |
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