冠心病患者健康自我管理水平及其影响因素  

Level of health self-management and its influential factors among patients with coronary heart disease

作　　者：杜亚男 耿丽华 陈长香 

机构地区：[1]华北理工大学护理与康复学院,河北唐山063000 [2]华北理工大学附属医院,河北唐山063000

出　　处：《现代预防医学》2017年第5期835-838,893,共5页Modern Preventive Medicine

基　　金：国家社会科学基金(12BRK017)

摘　　要：目的了解冠心病患者健康自我管理水平及其影响因素。方法应用冠心病自我管理行为量表(CSMS),对580例于2014年10月至2015年9月在华北理工大学附属医院心血管内科的住院冠心病患者进行问卷调查并对调查数据进行描述性分析、t检验、方差分析和多重线性回归分析。结果冠心病患者健康自我管理行为得分为(55.52±11.12)分,呈低水平,各维度得分由高到低依次为情绪管理(81.24±12.16)分、日常生活管理(68.48±16.48)分、疾病医学管理(42.04±11.55)分。多重线性回归分析显示,影响冠心病患者健康自我管理能力的因素有文化程度、居住地、社会经济地位(个人月收入、医保类型、承担医疗费用情况)、接受系统健康教育与否(P﹤0.05)。结论提高经济地位和完善健康教育体系有利于冠心病患者健康自我管理水平的提高。Objective To explore the level of health self-management and its influential factors among patients with coronary heart disease. Methods A total of 580 in-patients with coronary heart disease in the cardiovascular department of North China University of Science and Technology Affiliated Hospital were investigated with coronary heart disease self-management behavior scale（ CSMS） from October 2014 to September 2015. Data of it were analyzed by descriptive analysis,t-test,analysis of variance and multiple linear regression analysis. Results The mean score of self-management behaviour was 55. 52 ± 11.12,which was on the lower level. In each dimension,scores from high to low were as follows： emotion management（ 81. 24 ± 12.16）,daily life management（ 68. 48 ± 16. 48） and disease management（ 42. 04 ± 11. 55）. Multiple linear regression analysis indicated that the factors impacted health self-management were education level,place of residence,personal income,health insurance type,the ability to bear the costs and systematic health education. Conclusion Advancement of socioeconomic status and improvement of health education system help to improve the patient＇s health self-management level.

关 键 词：冠心病 健康自我管理 经济地位 健康教育 

分 类 号：R193[医药卫生—卫生事业管理]