摘要
①目的了解冠心病患者的疾病特征对自我管理行为的影响,以提高冠心病患者自我管理水平。②方法采用自我管理量表及相关影响因素问卷,对华北理工大学附属医院心血管内科住院的冠心病患者进行评测。③结果单因素中不同性别、年龄、职业、婚姻状况、文化程度、居住地、家庭类型、心功能分级、是否有冠心病家族史、是否接受过冠心病健康教育及发作次数均是冠心病患者自我管理行为的可能影响因素;多因素分析显示健康教育(β=0.701)、长期服药(β=0.081)、女性(β=0.055)、与亲人共同居住者(β=0.084)、56~80岁(β=0.059~0.089)、干部(β=0.0.110)、本科及以上文化水平(β=0.081)、患病1~5年(β=0.068)及发作次数较多者(β=0.241~0.299)其冠心病自我管理水平高;心功能分级三、四级者均比一级者的自我管理水平低(β=-0.299^-0.181,P<0.05);未婚者比已婚者的自我管理水平低(β=0.701,P<0.05)。④结论冠心病患者自我管理水平较低,应提高冠心病患者自我管理能力,以改善其生活质量。
Objective To understand the disease characteristics and the impact of self-manage- ment behaviors in patients with coronary heart disease,and improve selbmanagement level of patients with coronary heart disease. Methods The self-administered scales and related factors questionnaire were utilized to evaluate the patients hospitalized with coronary heart disease in Department of Cardiol- ogy,Affiliated Hospital to North China University of Science and Technology.Results Different gen- ders, ages, occupations, marital status, education level, place of residence, family type, cardiac function, whether there was a family history of coronary heart disease,whether received health education of cor- onary heart disease and the onset of coronary heart disease were the factors that may affect the patients self-management behaviors; multivariate analysis showed that health education （β=0. 701）, cardiac function classification （β=0.081）,female（β=0.055）,live with family（β=0.084）,aged 56-80 years old （β=0.059-0.089）, cadre（β= 0.0110） ,education level（β=0.081）, age of illness （1-5years） （β=0.068）, Seizures were more frequent （β=0.241-0.299）, the coronary heart disease patients with high self-man- agement, heart function grading three or four than the level of self-management level was low [β= （-0.299） -（-0.181）, P 〈0.05] ,unmarried persons had lower self-management than married persons（ P 〈0.05）.Conclusion The level of self-management of patients with coronary heart disease is low, and it should improve self-management ability,to improve the quality of life.
作者
杨帆
李淑杏
陈长香
YANG Fan LI Shuxing CHEN Changxiang(North China University of Science and Technology, Tangshan 063000, Chin)
出处
《华北理工大学学报（医学版）》
2017年第1期65-69,共5页
Journal of North China University of Science and Technology：Health Sciences Edition
基金
河北省社科基金项目(编号:HB15SH020)
关键词
冠心病
自我管理行为
疾病相关因素
Coronary heart disease.Self-management behavior.Disease related factors
