实践“生命网”模式对冠心病患者自我效能及生活质量的影响

The influence of practicing "heart care network" on the self-efficacy and the quality of life for patients with coronary heart disease

目的探讨实践"生命网"模式对冠心病患者自我效能与生活质量的影响,为提高冠心病患者生活质量水平提供新思路。方法采用一般资料问卷、简明健康状况调查问卷(中文版)和自我效能测量表,对入网的312例冠心病患者的自我效能和生活质量进行入网前基线水平及入网6个月后水平变化进行问卷调查。结果冠心病患者入网前自我效能平均得分为(4.38±2.05)分,其中63.42%的患者自我效能处于中等水平,13.42%处于低水平。而入网6个月后自我效能平均得分达(7.86±2.43)分,较入网前基线水平明显增加(P<0.01),其中达中等水平以上者占90.60%。而生活质量总得分在入网前为(98.82±17.34)分,其中大多数患者(69.80%)处于中等水平(72～117分)。经入网教育后,患者生活质量得分显著提高,达(112.54±14.35)分(P<0.01),其中约82.21%的患者在入网后生活质量达中等、良好水平,且各维度得分均较入网前有所提高(P<0.05),其中以身体疼痛、情感职能及精神健康三个维度提高更为显著(P<0.01)。结论规范实践"生命网"模式可提高冠心病患者自我效能水平,进而改善患者生活质量。

Obiective To study the effect of practicing ＂heart care network＂ on the self-efficacy and the quality of life for patients with coronary heart disease,and to provide an approach to improve patient＇s life. Method The questionnaire related to patients＇ general information, simple health questionnaire （Chinese version） and self-efficacy questionnaire were used to investigate among 312 patients registered in ＂heart care network＂ before and after 6 months of education. Result The average score on self efficacy was （4. 38±2.05）, in which 63.42% of the patients at a medium level, 13.42% at a low level. After 6 months of education the average score reached to （7.86±4.43）,and 90.60% of the patients were up to middle level or above, which was increased significantly compared with the baseline level （P〈0.01）. The total score of the quality of life in patients before education were （98.82±17.34）, in which 69.80% of the patients were at a medium level （72 -117）. However. the quality of life was significantly in-- creased （P〈0.01）, and the total score was up to （112. 54±14. 35） after 6 months of education, in which about 82.21% of the patients＂ scores reached the middle level or above. And the scores of each dimensions of quality of life questionnaire was higher than baseline level （P〈0.05）, specially in bodily pain, role limitations due to emotional problem and mental health dimensions were more significant （P〈0.01）. Conclusion Practicing ＂heart care network＂ could raise the level of self efficacy for patients with coronary heart disease and then improve the patients＂ life.