新疆地区冠心病患者自我管理行为影响因素分析

Path analysis of the influencing factors of self-management behavior among coronary heart disease patients in Xinjiang

目的:了解新疆地区冠心病患者自我管理行为的影响因素。方法:采用冠心病自我管理行为问卷对520例冠心病患者进行问卷调查,通过通径分析探讨其影响因素及各因素的作用大小。结果:影响冠心病患者自我管理行为的因素按作用大小排序依次为:病程、民族、年龄、自我效能、职业、社会支持、生活质量、性别、个人月收入及医疗付费方式。结论:冠心病患者自我管理行为的影响因素是多方面的,护理人员应对患者进行有针对性的干预,以提高其自我管理水平,延缓和控制病情的发展,从而提高患者的生活质量。

Objective： To explore the influencing factors of self-management behavior among coronary heart disease （CHD） patients in Xinjiang. Methods： We investigated the influencing factors of self-management behavior among CHD patients by self-designed selfmanagement scale and analysed by path analysis. Results： The influencing factors of selfmanagement behavior among CHD patients were as follows： disease course, ethnic group,, age, self-efficacy, job, social support, quality of life, gender, individual income per month and medical payment. Conclusion： The self-management behavior among CHD patients is affected by many factors, So nurses should improve the level of self-management, delay and controll their complications and improve the quality of life among CHD patients by tailored intervention.