农村冠心病患者自我管理水平特点及影响因素分析(1)
摘要：目的 探究農村冠心病患者的自我管理特点，并分析其影响因素。方法 采用方便抽样法，选取长沙市中南大学湘雅医院心内科161例农村冠心病住院患者作为研究对象，分别采用冠心病自我管理量表、社会支持评定量表、简易应对方式问卷、慢性病管理自我效能量表来进行农村冠心病患者的自我管理水平测评。结果 农村冠心病患者自我管理得分为(56.97±9.80)分，单因素方差分析结果显示不同家庭月收入、同住家人、住院次数、是否长期服药、服药的种类不同的农村冠心病患者自我管理得分差异具有统计学意义(P<0.05)。相关性分析结果显示：自我管理得分与社会支持得分、积极应对得分呈正相关;社会支持得分与积极应对得分呈显著正相关(P<0.01)。逐步回归分析结果显示，长期服药种类数、积极应对、冠心病住院次数、自我效能和有无宗教信仰共5个因素进入回归方程(F=37.590，P=0.000)。结论 农村冠心病患者自我管理水平总体呈中等偏低水平，自我效能感、长期服药种类数、积极应对、冠心病住院次数、有无宗教信仰是影响农村冠心病患者自我管理的主要因素。
, 百拇医药 关键词：农村冠心病患者;自我管理;影响因素
中图分类号：R473.5 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.06.045
文章编号：1006-1959(2019)06-0141-04
Abstract：Objective To explore the self-management characteristics of patients with coronary heart disease (CHD) in rural areas and to analyze the influencing factors.Methods A total of 161 rural patients with coronary heart disease in the Department of Cardiology，Xiangya Hospital of Central South University，Changsha City were selected by convenient sampling method.The self-management scale of coronary heart disease，social support rating scale，simple coping style questionnaire，and chronic disease management self were selected.The energy meter is used to evaluate the self-management level of patients with coronary heart disease in rural areas.Results The self-management score of rural patients with coronary heart disease was (56.97±9.80). The results of one-way analysis of variance showed that the self-management of rural coronary heart disease patients with different monthly income，family members， hospitalizations，long-term medication， and different medications，the difference in scores was statistically significant (P<0.05).Correlation analysis showed that self-management scores were positively correlated with social support scores and positive response scores; social support scores were positively correlated with positive response scores (P<0.01).The results of stepwise regression analysis showed that the five factors including the number of long-term medications，active response，number of hospitalizations for coronary heart disease，self-efficacy and whether there were religious beliefs entered the regression equation(F=37.590，P=0.000).Conclusion The self-management level of rural patients with coronary heart disease is generally moderately low.Self-efficacy，long-term medication， positive response，number of hospitalizations for coronary heart disease，and religious belief are the main factors affecting self-management of rural patients with coronary heart disease., 百拇医药(张静 王卫红)
, 百拇医药 关键词：农村冠心病患者;自我管理;影响因素
中图分类号：R473.5 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.06.045
文章编号：1006-1959(2019)06-0141-04
Abstract：Objective To explore the self-management characteristics of patients with coronary heart disease (CHD) in rural areas and to analyze the influencing factors.Methods A total of 161 rural patients with coronary heart disease in the Department of Cardiology，Xiangya Hospital of Central South University，Changsha City were selected by convenient sampling method.The self-management scale of coronary heart disease，social support rating scale，simple coping style questionnaire，and chronic disease management self were selected.The energy meter is used to evaluate the self-management level of patients with coronary heart disease in rural areas.Results The self-management score of rural patients with coronary heart disease was (56.97±9.80). The results of one-way analysis of variance showed that the self-management of rural coronary heart disease patients with different monthly income，family members， hospitalizations，long-term medication， and different medications，the difference in scores was statistically significant (P<0.05).Correlation analysis showed that self-management scores were positively correlated with social support scores and positive response scores; social support scores were positively correlated with positive response scores (P<0.01).The results of stepwise regression analysis showed that the five factors including the number of long-term medications，active response，number of hospitalizations for coronary heart disease，self-efficacy and whether there were religious beliefs entered the regression equation(F=37.590，P=0.000).Conclusion The self-management level of rural patients with coronary heart disease is generally moderately low.Self-efficacy，long-term medication， positive response，number of hospitalizations for coronary heart disease，and religious belief are the main factors affecting self-management of rural patients with coronary heart disease., 百拇医药(张静 王卫红)