中青年冠心病患者自我管理行为与生活质量及社会支持状况的关系  

Relationship between self-management behavior of young and middle-aged patients with coronary heart disease and quality of life, social support

作　　者：李少枝[1] LI Shaozhi(Department of Cardiology, Foshan Traditional Chinese Medicine Hospital, Guangdong Province, Foshan 528000, China)

机构地区：[1]广东省佛山市中医院心血管内科,广东佛山528000

出　　处：《中国医药导报》2019年第7期80-83,共4页China Medical Herald

基　　金：广东省中医药局立项资助课题(20171259)

摘　　要：目的探讨中青年冠心病患者自我管理行为与生活质量和社会支持之间的关系。方法选择2012年1月～2016年5月佛山市中医院就诊的中青年冠心病患者185例,采用冠心病自我管理量表、健康调查简易量表SF-36、社会支持评定量表对所有患者进行调查,汇总各量表得分情况,并采用Pearson相关检验法分析自我管理行为与生活质量及社会支持状况的相关性。结果中青年自我管理各维度得分指标从高到低依次为日常生活管理、情绪管理、疾病医学管理;生活质量各维度得分指标从高到低依次为生理机能、社会功能、生理职能、躯体疼痛、总体健康、精神健康、情感职能、生命活力;社会支持各维度得分指标从高到低为主观支持、客观支持及支持利用度。生活质量与自我管理行为呈正相关(r>0,P<0.05),社会支持与自我管理行为呈正相关(r>0,P<0.05)。结论中青年冠心病患者的自我管理行为、生活质量及社会支持均处于中等偏下水平,且自我管理行为与生活质量和社会支持具有密切联系,应通过增强社会支持力度,提高患者自我管理行为进而改善患者生活质量。Objective To explore the relationship between self-management behavior of young and middle-aged patients with coronary heart disease and quality of life, social support. Methods From January 2012 to May 2016, in Foshan Traditional Chinese Medicine Hospital, 185 young and middle-aged patients with coronary heart disease were selected, and all patients were investigated by coronary heart disease self-management scale, health survey summary scale SF-36, social support rating scale, and the scores were summarized. The relationship between self-management behavior, quality of life and social support was analyzed by Pearson correlation test. Results The scores self-management of middle-aged and young people from high to low were daily life management, emotion management and disease medical management in turn. The scores of each dimension of quality of life from high to low were physiological function, social function, physiological function, somatic pain, general health, mental health, emotional function and vitality.The scores of social support from high to low were subjective support, objective support and support utilization. Quality of life was positively correlated with self-management behavior(r > 0, P < 0.05), and social support was positively correlated with self-management behavior(r > 0, P < 0.05). Conclusion Self-management behavior of young and middleaged patients with coronary heart disease, quality of life and social support are all in the middle and lower level, and self-management behavior is closely related to quality of life and social support. It should strengthen social support to improve self-management behavior and quality of life of patients.

关 键 词：冠心病 自我管理 生活质量 社会支持 

分 类 号：R541.4[医药卫生—心血管疾病]