冠心病患者自我管理行为及相关因素分析.docVIP

冠心病患者自我管理行为及相关因素分析 要：目的 了解冠心病患者的自我管理行为水平并分析其相关因素，为冠心病二级预防策略制定提供依据。方法 采用冠心病自我管理量表对209例冠心病患者的自我管理行为进行调查,并与人口社会学资料、疾病相关情况等进行相关分析。结果 该组患者的自我管理行为总分为52.69±18.47）（百分制），经多元逐步回归分析获知主要因素是文化程度、高血压冠心病分型、冠心病病程经济状况 (P0.0）。结论 冠心病患者的自我管理较差文化程度低、高血压、病程短不稳定和心肌梗死冠心病、经济条件差的患者关键词：冠心病；自我管理；二级预防 中图法分类号： R5 ；R1；R49　　文献标识码：A　 Study on Self anagement Behavior and Relative Factors in Patients with Coronary Heart Disease Ren Hong-yan, Liu Li-ping, Zhao Qing-hua (Department of Nursing，The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China) Abstract：Objective To investigate the self managent behaviors and analysis the relative factors in patients with Coronary Heart Disease (CHD) and provide the evidence for strategy making of health education and second prevention of CHD. Methods 209 patients were investigated with Coronary heart disease self management scale( include three sub-scales: daily management、medical management、emotional management), the general information and the disease related information also be collected. Results The score of self management in these patients was (52.69±18.47). The multi-variable stepwise regression shows there are statistically significant correlation between the daily life management and working status; between the medical management and education background、hypertensionclassification of CHD and duration of CHD; between the emotional management and disease perception、 economic status (P0.05). Conclusion The self management behavior of patients is poor. Those still working are not good at daily management; those less educated、not complicating with hypertension、diagnosis as Unstable angina or Myocardial infractionshort duration of CHD are not good at medical management; Those have negative disease perception and less income are not good at emotional management. Key words： Coronary heart disease, Self management, Secondary prevention 美国2006年冠心病防治指南强调医务人员应致力于 “可改变的行为危险因素”，并推荐了行为干预措施[1]。尽管这些措施建立在确凿的科学证据之上，能全面减少患者危险因素、提高生存