[1]任洪艳,刘丽萍,赵庆华.冠心病患者自我管理行为及相关因素分析[J].陆军军医大学学报(原第三军医大学学报),2009,31(14):1374-1377.
　REN Hong-yan,LIU Li-ping,ZHAO Qing-hua.Self management behavior and related factors in patients with coronary heart disease: report of 209 patients[J].J Amry Med Univ (J Third Mil Med Univ),2009,31(14):1374-1377.
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冠心病患者自我管理行为及相关因素分析(/HTML )
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陆军军医大学学报（原第三军医大学学报）[ISSN:1000-5404/CN:51-1095/R]

卷:
31卷
期数:
2009年第14期
页码:
1374-1377
栏目:
论著
出版日期:
2009-07-30

文章信息/Info

Title:
Self management behavior and related factors in patients with coronary heart disease: report of 209 patients
作者:
任洪艳; 刘丽萍; 赵庆华
重庆医科大学附属第一医院护理部
Author(s):
REN Hong-yan;  LIU Li-ping;  ZHAO Qing-hua
Department of Nursing, First Affiliated Hospital, Chongqing Medical University, Chongqing 400016, China
关键词:
冠心病; 自我管理; 二级预防
Keywords:
coronary heart disease;  self management;  secondary prevention
分类号:
R473.5;R493;R541.4
文献标志码:
A
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（coronary artery disease self-management scale，CSMS）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 (P<0.05）。   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，疾病医学管理行为较差，疾病认知程度低、经济条件差的患者情绪认知管理行为较差。
Abstract:
Objective   To investigate the self management behaviors and analyze the related factors in patients with coronary heart disease (CHD) in order to provide the evidence for strategy making on health education and secondary prevention of CHD.    Methods   Totally 209 patients with verified CHD who were from 3 grade-A hospitals in Chongqing from October 2007 to January 2008 were investigated with Coronary Heart Disease Self Management Scale (including three sub-scales: daily management, medical management and emotional management). Their general information and the disease related information were also collected.     Results   The score of self management in the cohort of patients was (52.69±18.47). The multi-variable stepwise regression showed there were 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 (P<0.05).    Conclusion   The self management behavior of this cohort 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, having short duration of CHD are not good at medical management. Those having negative disease perception and less income are not good at emotional management.

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更新日期/Last Update: 2009-06-29