| Objective: In elderly patients with gallstone disease health quotient,anxiety,and the ability to care for the status quo,on the basis of analyzing effect in elderly patients with gallstone disease factors that influence the self-care ability of study in elderly patients with gallstone disease health quotient,the correlation of anxiety and self-care ability,for clinical medical staff for the improvement of self-care ability provides the theory basis for individualized health education,to explore the influence factors of self-care ability,which will provide a scientific basis for intervention model was constructed.Methods: This study was a non-experimental study.A total of 200 questionnaires were distributed to elderly patients with cholelithiasis who received treatment in the Department of Gastroenterology of a Grade A hospital in Weihai from December 2019 to May 2020 by convenience sampling method.The research tools included general condition questionnaire,health quotient questionnaire,self-rating anxiety scale and Babbitt index rating scale.Statistical analysis of all data using SPSS26.0 Chinese applied to the mean,standard deviation,frequency and constituent ratio index to describe the general demographic characteristics of elderly patients with gallstone disease,health quotient,anxiety,and ability to care for the status quo of application of t test or analysis of variance contrast in elderly patients with gallstone disease health quotient,anxiety and self-care ability in general difference in demographic data;Pearson correlation was used to analyze the correlation between health quotient,anxiety and self-care ability of elderly patients with cholelithiasis.Multivariate stepwise regression was used to analyze the influencing factors of self-care ability in elderly patients with cholelithiasis.In this study,the difference was statistically significant when P<0.05.Results:(1)The object of study basic demographic data of 189 elderly patients with gallstone disease at an average age of 71.74±6.78 years,including 112 women(59.26%),136(71.96%),who has a spouse culture degree for junior high school of 84 people(44.44%),enjoy health care(88.89%)of 168 people,living with a spouse,primary caregivers for spouses were 116(61.38%),average monthly income is in 3000 yuan the following 75 people(39.7%),urban residential 75 people(39.68%);87(46.03%)had a healthy lifestyle,and 84(44.44%)had regular physical examination.(2)The average score of health quotient of elderly patients with cholelithiasis was(239.44±55.27),which was lower than the critical value of health quotient level..There were significant differences in health quotient among different age,marital status,educational level,residence status,main caregivers and residence of elderly patients with cholelithiasis(P<0.05).(3)The original score of anxiety in elderly patients with cholelithiasis was(40.02±14.57),higher than the cut-off value of SAS,that is,elderly patients with cholelithiasis were in a state of mild anxiety.There were significant differences in anxiety scores among the elderly patients with cholelithiasis in different ages,marital status,educational level,living situation,main caregivers,monthly income and life style(P<0.05).(4)In elderly patients with gallstone disease self-care ability score(83.04+23.56),which exist in elderly patients with gallstone disease,impaired self-care ability of BI95 points or 57.10%,BI<self-care ability to score 95 points(42.90%),in different age,sex,marital status,educational level,living conditions,the main caregivers,significant differences between monthly income(P<0.05).(5)Correlation analysis showed that the health quotient of elderly patients with cholelithiasis was negatively correlated with anxiety(r=-0.676,P<0.01);There was significant positive correlation between health quotient and self-care ability(r=0.787,P<0.01).Anxiety was significantly negatively correlated with self-care ability(r=-0.785,P<0.01).(6)In this study,the total score of anxiety,the total score of health quotient,age,primary caregiver(caregiver),and living condition(living alone)can jointly explain the variation of 77.6% in the score of self-care ability of the dependent variable.Conclusions:(1)The health quotient level of elderly patients with cholelithiasis was low,their anxiety was mild anxiety,and their self-care ability was impaired.(2)Generally,age,marital status,educational level,residence status,primary caregiver and residence have influence on health quotient;Age,marital status,educational level,residence,primary caregiver,monthly income and life style have influence on anxiety scores.Age,gender,marital status,educational level,residence status,primary caregiver and monthly income have effects on self-care ability.(3)Health quotient was negatively correlated with anxiety;Health quotient was positively correlated with self-care ability.Anxiety was negatively correlated with self-care ability.Namely,the higher the health quotient of elderly patients with cholelithiasis,the lower the incidence of anxiety and the higher the self-care ability.(4)The main factors affecting self-care ability were total anxiety score,total health quotient score,age,primary caregivers(caregivers),and living situation(living alone). |
