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.

Key words: Aged, Multiple Chronic Conditions, Consumer Health Activation Index, Questionnaire, Nursing Care

摘要：

目的 探讨并分析住院老年慢性共病患者健康积极指数现状及其影响因素，为临床制订干预措施提供参考。 方法 采用便利抽样法，选取2024年7月—12月合肥市某三级甲等医院住院的332例老年慢性共病患者为调查对象，采用一般资料调查表、公众健康积极指数量表、慢性病病人健康素养量表、老年人自我忽视量表以及领悟社会支持量表进行调查，采用单因素分析及多元线性回归分析住院老年慢性共病患者健康积极指数的影响因素。 结果 共发放332份问卷，回收有效问卷325例。住院老年慢性共病患者健康积极指数量表得分为（61.68±15.12）分。多元线性回归结果显示，受教育程度、家庭人均月收入、患慢性病数量、服药频率、自理能力、健康素养、领悟社会支持以及自我忽视是住院老年慢性共病患者健康积极指数的影响因素（P<0.05），可以解释59.9%的变异度。 结论 住院老年慢性共病患者健康积极指数处于偏低水平，未来可结合相关影响因素制订精准、系统的积极度干预措施，以推动患者由被动健康转变为主动健康，进而促进积极老龄化。

关键词: 老年人, 慢性共病, 公众健康积极指数, 问卷调查, 护理