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 任洪艳, 刘丽萍, 赵庆华（重庆医科大学附属第一医院护理部，重庆 400016） 摘 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日常生活管理行为的主要相关因素是工作状况；疾病医学管理行为的主要相关因素为文化程度、是否伴发高血压、冠心病分型、冠心病病程；情绪认知管理的主要相关因素是疾病认知程度、经济状况 (P0.05）。结论 冠心病患者的整体自我管理行为较差：日常生活管理行为较好，在职者优于不在职者；疾病医学管理行为较差，尤其是文化程度低、未合并高血压、病程短以及不稳定型和心肌梗死型冠心病患者；疾病认知程度低、经济条件差的患者情绪管理行为较差。 关键词：冠心病；自我管理；二级预防 中图法分类号： R541.4 ；R181.37；R49　　文献标识码：A　 Study on Self Management 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 management 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、hypertension、classification 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 infraction、have short duration of CHD are not good at medical management; Those have negative disease perception and less income are not g