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目的:了解≥60岁患者于社区卫生服务中心（CHC）全科门诊就诊后的自强能力水平及其影响因素。方法:对2018年9月3—15日就诊于上海市长风和枫林CHC全科门诊的460例≥60岁患者，在完成医生诊疗后进行问卷调查，内容包括自制的健康状况调查表、患者自强评估量表（PEI）、中文健康问卷（CHQ-12）、诊疗关系共情量表（CARE）。结果:按样本量估算发放460份问卷，回收问卷460份且均合格（100.00%）。PEI总分为3.0（0.0，6.0）分［n M（n Q1，n Q3）］， 其中340例（73.91%）自强能力改善阳性（PEI总分≥1分）。单因素分析显示，患者的性别（n Z=-2.32，n P=0.02）、年龄（n H=9.73，n P<0.01）、就诊原因（n H=42.06，n P<0.01）、近1年健康状况（n H=8.28， n P=0.02）、与医生交流的时间（n H=22.92， n P<0.01）、患者认为交流时间是否充足（n H=41.83， n P<0.01）、医生询问病情详细程度（n H=81.11， n P<0.01）、接诊医生是否是患者的签约医生（n Z=-3.42， n P<0.01）、对此次就诊满意度（n H=38.64， n P<0.01）、CHQ-12总分（n Z=-2.01， n P=0.04）、CARE总分（n H=288.06， n P<0.01），对老年患者自强能力有影响。多元线性回归分析显示，年龄60~69岁（n P=0.03）、只因急性病就诊（n P<0.01）、近1年健康状况好（n P<0.01）及一般（n P<0.01）、与医生交流时间<3 min（n P<0.01）及3~<5 min（n P<0.01）、患者认为交流时间充足（n P<0.01）及一般（n P<0.01）、医师询问病情详细（n P=0.03）及一般（n P=0.01）、接诊医生是患者的签约医生（n P<0.01）、CHQ-12总分≥4分（n P<0.01）、CARE总分为中分组（n P<0.01）及高分组（n P<0.01），是老年患者就诊后自强能力的影响因素，对患者PEI得分变异的总体贡献率为73.40%（n F=50.08， n P<0.01）。n 结论:CHC全科门诊就诊老年患者自强能力较低，患者的年龄、就诊原因、近1年健康状况、与医生的交流时间、患者认为交流时间是否充足、医生询问病情详细程度、接诊医生是否为签约医生、CHQ-12总分、CARE总分相关。“,”Objective:To survey the enablement level of elderly patients in the community and its influencing factors.Methods:A total of 460 patients aged ≥60 years visiting Changfeng and Fenglin Community Health Service Centers of Shanghai during September 3 to 15, 2018 were invited for a questionnaire survey. A self-made health status questionnaire, Patient Enablement Instrument (PEI), Chinese Health Questionnaire (CHQ-12), the Consultation and Relational Empathy Measure (CARE) were applied for survey.Results:All valid 460 questionnaires were retrieved. The positive rate of patient enablement was 73.91% (340/460). The median score for PEI was 3, n Q1 was 0 and n Q3 was 6. The univariate analysis showed that patient′s gender(n Z=-2.32,n P=0.02), age (n H=9.73,n P<0.01), reason for visit (n H=42.06,n P<0.01), health status in the past year (n H=8.28,n P=0.02), consultation time (n H=22.92,n P<0.01), sufficiency of communication with the doctor as patient thought (n H=41.83,n P<0.01), detailed inquisition (n H=81.11,n P<0.01), attending a contracted doctor (n Z=-3.42,n P=0.04), the satisfaction of the visit (n H=38.64,n P<0.01), total score of CHQ-12 (n Z=-2.01,n P=0.04) and the score of CARE were significantly associated with the enablement level of the patient after the visit (n H=288.06,n P<0.01). Multivariate linear regression showed that age 60-79(n P=0.03), visit for acute disease(n P<0.01), good or moderate health status in past year (n P<0.01), communication with the doctor<3 min or 3-<5 min (n P<0.01), sufficient or moderate time for communication with the doctor as patient thought (n P<0.01), detailed or moderate inquisition(n P=0.03 or n P=0.01), attending a contracted doctor (n P<0.01), CHQ-12 ≥4 (n P<0.01), middle or high CARE score (n P<0.01)were associated with the enablement of elderly patients after visit, with a cumulative contribution rate of 73.40%(n F=50.08, n P<0.01).n Conclusion:The level of enablement of elderly patients after visiting the general outpatient clinic of the community health service center is relatively low. Patient′s age, types of disease, health status and the time of communication with the doctor, the sufficiency of communication time as patient thought, the detailed inquisition, attending a contracted doctor, the mental health status, and the empathy expression of the doctor are associated with the enablement of patients.