冠心病患者冠脉介入术后的生活质量与自我管理行为的相关性研究.docVIP

冠心病患者冠脉介入术后的生活质量与自我管理行为的相关性研究 　　[摘要] 目的 探讨冠心病患者冠脉介入术后生活质量与自我管理行为的相关性。 方法 选取2013年10月～2014年10月于我院初次接受冠脉介入术且出院1年内门诊随访的150例冠心病患者作为研究对象，采用一般资料调查表、健康状况调查问卷及慢性病自我管理行为研究测量表分析冠脉介入术后患者生活质量与自我管理行为的相关性。 结果 冠心病患者自我管理整体处于中偏下水平，各维度管理水平得分从高到低依次为疾病医学管理、日常生活管理与情绪管理；冠心病患者生活质量评分最低维度为情感功能，最高为生理机能；冠心病患者生活质量SF-36维度与自我管理行为各维度呈正相关（r=0.132～0.417）。 结论 高水平的自我管理行为对冠脉介入术后患者生活质量有促进作用。 　　[关键词] 冠心病；冠脉介入术；生活质量；自我管理行为 　　[中图分类号] R541.4 [文献标识码] A [文章编号] 1674-4721（2016）01（c）-0118-03 　　[Abstract] Objective To analyze the correlation between the quality of life and self management behavior of patients with coronary heart disease after percutaneous coronary intervention. Methods 150 patients with CHD who received PCI for the first time in the hospital during October 2013 to October 2014 and were followed up within a year after discharge were selected as the research objects.The general information questionnaire，health status questionnaire and chronic disease self management behavior study measuring table were used to grasp the patients′ general information，quality of life and self management status.The correlation between the quality of life and self management behavior of patients with CHD after PCI was analyzed. Results The overall self management of patients with CHD were in the lower-middle level.The scores of dimension management levels from high to low were medical management of disease，daily life management and emotional management，successively.The lowest dimension of quality of life score in patients with CHD was emotional function while the highest was physiological function.The quality of life SF-36 dimension of patients with CHD and each dimension of self management behavior were positively related （r=0.132～0.417）. Conclusion High-level self management behavior can promote the quality of life of patients after PCI. 　　[Key words] Coronary heart disease；Percutaneous coronary intervention；Quality of life；Self management behavior 　　据统计资料显示，我国城市居民冠心病死亡率为94.8/10万人，农村则为71.26/10万人，已上升为人类死因榜首[1