摘要
目的探讨影响社区老年冠心病患者健康自我管理的因素。方法选取2015年6月2017年4月棣丰街道社区卫生服务中心收治的老年冠心病患者103例，采用健康自我管理量表对患者进行问卷调查。结果对社区老年冠心病患者健康自我管理的单因素分析显示，病史、住院史、爱好、社会支持、受教育程度等因素均为影响社区老年冠心病患者自我管理的相关因素，差异具有统计学意义（P〈0．05）。通过多因素结果分析显示，病史、爱好、家庭功能、社会支持、受教育程度、心理健康、日常生活能力均为冠心病老年人健康自我管理情况的影响因素（P〈0．05）。结论强化社区冠心病老年患者的自我管理水平，控制相关影响因素，能够有效提升患者自我管理能力，保障患者生存质量。
Objective To explore the factors of health self-management in elderly patients with coronary heart disease in the community. Methods From June, 2015 to April, 2017, a total of 103 elderly patients with coronary heart disease were collected from Community Health Service Center in Difeng Street, and we performed questionnaire survey using health self-management scale. Results The univariate analysis showed that medical history, past hospitalization history, hobbies, social support, and education degree were significant factors in the health self-management in elderly patients with coronary heart disease （P 〈 0.05）. Moreover, multivariate analysis suggested that medical history, hobbies, family functions, social support, education level, mental health and activities of daily living were significant factors in the health self-management in elderly patients with coronary heart disease （P 〈 0.05）. Conclusion To strengthen self-management level and control related factors in elderly patients with coronary heart disease can effectively improve their self-management ability and ensure their quality of life.
作者
张春玲
ZHANG Chunling(Community Health Service Center in Difeng Street, Wudi County, Binzhou 251900, Shandong Province, China)
出处
《中国实用乡村医生杂志》
2018年第5期68-70,73,共4页
Chinese Practical Journal of Rural Doctor
关键词
社区冠心病
自我管理
相关因素
Community Coronary Heart Disease
Self-management
Related Factors
