冠心病患者慢性病资源利用现状及其与赋权认知的相关性研究  

Current Status of Chronic Disease Resource Utilization in Patients with Coronary Heart Disease and Its Correlation with Empowerment Perceptions

作　　者：蔺可 潘室容 姚倩[1] 罗健 李秀川 侯霁芯[3] 叶可言 旦增措姆 官璇 谢佳 杨拯 Lin Ke;Pan Shirong;Yao Qian;Luo Jian;Li Xiuchuan;Hou Jixin;Ye Keyan;Tenzin Tsomo;Guan Xuan;Xie Jia;Yang Zheng(School of Nursing,Chengdu Medical College,Chengdu 610083,China;Department of Cardiovascular Medicine,General Hospital of Western Theater Command,Chengdu 610083,China;Department of Cardiovascular Medicine,The First Affiliated Hospital of Chengdu Medical College,Chengdu 610500,China;School of Basic Medicine,Chengdu Medical College,Chengdu 610500,China)

机构地区：[1]成都医学院护理学院,成都610083 [2]西部战区总医院心血管内科,成都610083 [3]成都医学院第一附属医院心血管内科,成都610500 [4]成都医学院基础医学院,成都610500

出　　处：《成都医学院学报》2023年第3期319-324,共6页Journal of Chengdu Medical College

基　　金：四川省教育厅·四川应用心理研究中心研究项目(No:CSXL-162211);四川省教育厅·四川省心理健康教育研究中心项目(No:XLJKJY1617B);成都医学院2022年调研类大学生创新训练计划项目(No:2022dy063,No:2022dy156)。

摘　　要：目的 调查冠心病患者慢性病资源利用的现状,分析健康赋权认知对慢性病资源利用的影响。方法 便利抽样法选取2022年5—8月就诊于成都医学院第一附属医院的271例冠心病患者,对患者一般资料、慢性病资源利用和赋权认知进行调查。结果 271例冠心病患者慢性病资源利用量表总得分为(56.41±14.90)分,赋权认知总分为(43.85±6.00)分。不同性别、职业状态、婚姻状态、医疗付费保险类型、文化水平、冠心病病程以及赋权认知的信息、个体化、自我管理水平差异可联合解释健康赋权57.20%的变异量(F=23.538,P<0.001)。结论 赋权认知是提高患者慢性病资源利用水平的可干预因素,优化个体化医疗服务及患者自我管理水平有益于强化慢性病资源利用水平。Objective To investigate the current status of chronic disease resource utilization in patients with coronary heart disease(CHD)and analyze the impact of health empowerment perceptions on chronic disease resource utilization.Methods A total of 271 CHD patients in the First Affiliated Hospital of Chengdu Medical College from May to August 2022 were selected by convenience sampling method.An investigation was conducted on their general information,chronic disease resource utilization and empowerment perceptions.Results The total score of chronic illness resource survey(CIRS)was(56.41±14.90).And the total score of health empowerment perceptions was(43.85±6.00).Gender,occupation,marriage status,type of health care payment insurance,education level,duration of CHD,and differences in information,individualization,and level of self-management of empowerment perceptions jointly explained 57.20%of the variance in health empowerment(F=23.538,P<0.001).Conclusion Empowerment perception is an intervenable factor to improve patients'chronic disease resource utilization.Optimizing individualized medical care and improving patients'self-management levels are beneficial in strengthening the level of chronic disease resource utilization.

关 键 词：冠心病 自我管理 慢性病资源利用 健康赋权 赋权认知 影响因素 

分 类 号：R473.5[医药卫生—护理学]