溶栓治疗后冠心病患者焦虑水平与健康行为自我效能的相关性分析  

Correlation analysis between anxiety level and health behavior self- efficacy in patients with coronary heart disease after thrombolytic therapy

作　　者：王娜[1] 胡云霞[1] 霍仙娜 张静[1] Wang Na;Hu Yunxia;Huo Xianna;Zhang Jing(Department of Cardiovascular Medicine,Seventh People＇s Hospital of Zhengzhou City,Zhengzhou 450000,Chin)

机构地区：[1]郑州市第七人民医院心血管内科,450000

出　　处：《国际医药卫生导报》2018年第15期2372-2375,共4页International Medicine and Health Guidance News

摘　　要：目的探讨溶栓治疗后冠心病患者焦虑水平与健康行为自我效能的相关性。方法采用方便抽样的方法选取2015年1月至2017年12月在本院接受溶拴治疗的冠心病患者142例进行研究。采用问卷调查的方法进行研究，调查问卷包括：自制一般情况调查表，中文版《健康行为能力自评量表》（SRAHP）与《中文版广泛性焦虑量表》（GAD-7）。在溶栓治疗完成后对患者进行问卷调查。变量间相关性采用Pearson相关分析。结果共发放142份问卷，回收140份，回收率为98．59％。140例患者焦虑测评结果显示无焦虑患者82例（58．57％），轻度焦虑43例（30．71％），中度焦虑7例（5．00％），重度焦虑8例（5．72％）。自我效能高水平者26例（18．57％），中等水平者83例（59．29％），低水平者3l例（22．14％）。相关性分析结果显示，焦虑得分与健康行为自我效能各维度与总表得分均呈显著负相关关系（P〈0．05）。结论冠心病溶栓治疗后患者焦虑与健康行为自我效能呈密切的负相关关系，在对患者护理时可加强对患者自我管理教育，调动患者主观能动性以降低患者焦虑水平。Objective To investigate the correlation between anxiety level and health behavior self-efficacy in patients with coronary heart disease after thrombolysis therapy. Methods A total of 142 coronary heart disease patients undergoing thrombolysis therapy in our hospital from January 2015 to December 2017 were selected with convenience sampling method. A questionnaire survey was conducted after thrombolytic therapy was completed. The survey questionnaire included self-made general situation questionnaire, Chinese version of Self-rated Abilities for Health Practices Scale （SRAHP） and Chinese Generalized Anxiety Scale （GAD-7）. The correlation between variables were calculated by Pearson correlation analysis. Results A total of 142 questionnaires were distributed and 140 questionnaires were recovered with the recovery rate of 98.59%. The anxiety test results of 140 patients showed that there were 82 patients （58.57%） without anxiety, 43 patients （30.71%） with mild anxiety, 7 patients （5.00%） with moderate anxiety, and 8 patients （5.72%） with severe anxiety. There were 26 cases （18.57%） with high level self-efficacy, 83 cases （59.29%） with moderate level, and 31 cases （22.14%） with low level. Correlation analysis showed that there were significant negative correlation between anxiety score and each dimension score and total score of self-efficacy of health behaviors （P〈0.05）. Conclusions There is a close negative correlation between anxiety and self-efficacy of health behaviors in patients with coronary heart disease after thrombolytic therapy. Patients＇ self-management education may be strengthened during nursing care, and the patients＇ subjective initiative can be mobilized to reduce anxiety.

关 键 词：溶栓治疗 冠心病 焦虑 健康行为自我效能 

分 类 号：R473.5[医药卫生—护理学]