摘要
目的探讨冠心病患者自我管理行为与心功能及生活质量的关系。方法选取2016年6月至2017年6月我院心内科收治的84例冠心病患者,应用冠心病自我管理行为量表(CSMS)、西雅图心绞痛调查量表(SAQ)对患者进行调查,并应用超声心动图采集患者左心室射血分数(LVEF),应用Pearson单因素分析冠心病患者自我管理行为与心功能及生活质量的关系,对影响冠心病患者自我管理行为行多重线性回归分析。结果冠心病患者自我管理行为总评分为(68. 52±4. 25)分,LVEF为(42. 85±3. 58)%,SAQ总评分为(64. 20±5. 02)分,经Pearson单因素分析显示冠心病患者自我管理行为总评分及治疗依从性管理与心功能、SAQ总评分及治疗满意程度评分均呈正相关(P <0. 05)。经多重线性回归分析可知,患者年龄≥60岁、文化程度为初中以下是影响患者自我管理行为的危险因素(P <0. 05),而接受过健康教育、获得家属支持是冠心病自我管理行为的保护性因素(P <0. 05)。结论冠心病患者自我管理行为与心功能改善及生活质量有密切的关系。通过加强患者疾病知识学习,给予患者足够支持及鼓励将有助于提高患者自我管理行为,改善患者预后,提高患者生活质量。
Objective To investigate the relationship between self - management behavior and cardiac function and quality of life in patients with coronary heart disease. Methods To investigated the self - management behavior of patients with coronary heart disease with multiple linear regression analysis, 84 cases of coronary heart disease patients, who were treated in our cardiology department from June 2016 to June 2017, were observed by means of coronary artery disease self- management scale （CSMS） and Seattle angina questionnaiire （SAQ）. Enchocardiography was perforated to collect patients＇ left ventricular ejection fractions （LVEF） , and Pearson single factor analysis was applied to the relationship between self- management behavior, cardiac function and quality of life in patients with coronary heart disease. Results The total score of self - management behavior of patients with coronary heart disease was （68.52 ± 4.25 ）, LVEF was （42.85 ± 3.58 ） %, and SAQ total score was （64.20± 5,02）. Pearson＇s single factor analysis showed that the total self - management behavior score and treatment compliance management of patients with coronary heart disease were positively correlated with cardiac function, SAQ total score and treatment satisfaction score（P 〈 0.05）. Multiple linear regression analysis showed that patients aged 60 years old or above with education level below junior high school is a risk factor affecting patients＇self - management behavior（ P 〈 0.05 ） , while health education and family support obtained were protective factor for self - management behavior of coronary heart disease patients （P 〈 0.05 ）. Conclusion The application of self - management behavior of patients with coronary heart disease was closely related to the improvement of heart function and quality of life. By strengthening the patient＇s disease knowledge education, giving patients sufficient support and encouragement would help improve patient self - management behavior, prognosis and qu
作者
童振振
李红梅
蒋雪飞
乐颖
TONG Zhen - zhen, LI Hong - mei, JIANG Xue - fei, LE Ying
出处
《护理实践与研究》
2018年第19期1-3,共3页
Nursing Practice and Research
关键词
冠心病
自我管理行为
心功能
生活质量
Coronary heart disease
Self- management behavior
Cardiac function
Quality of life
