126例维汉冠心病患者自我管理状况及影响因素分析

Analysis on Influence Factors and the Status of Self-management in 126 Cases with Coronary Heart Disease

目的:研究新疆伊宁地区维吾尔族与汉族冠心病患自我管理现状及影响自我管理的因素。方法:随机抽取2010年1月～2012年1月期间在我院心内科住院治疗的经冠脉造影确诊的维汉冠心病患者126例做为研究对象进行自我管理状况的问卷调查,对维汉自我管理状况进行比较。结果:维汉族冠心病患者自我管理总分差异有统计学意义(P<0.05)。其中汉族跟维吾尔族患者在相关知识管理维度上差异无统计学意义(P>0.05),在日常生活管理维度及认知意识管理维度均有统计学意义(P<0.05);多因素分析结果显示汉族冠心病患者的自我管理影响因素为文化程度、对疾病了解程度以及医保类型;维吾尔族冠心病患者的自我管理影响因素为文化程度、病程以及医保类型。结论:冠心病患者的自我管理水平较低,维汉的自我管理水平不一,需要对维汉冠心病患者进行个性化的健康教育及健康干预,以确实提高冠心病患者自我管理水平,减少医疗费用。

Objective： To study Uygur and Han ethnic＇s self-management status and influence factors of coronary artery disease self-management. Methods： Randomly selected in 2010 January -2012 year during ~anuary in our hospital department of cardiology hospital treatment after coronary angiography in patients with coronary heart disease in 126 cases, using self-made questionnaire to investigate self-management, And compared to the results of Han and Uygur, multi-factor analysis, find the factors which affect the self-management. Results： The Han ethnic patients with coronary heart disease self-management score was difference with Uygnr, the difference was statistically signifi cant （P〈0.05）. No statistically significant difference in Han and Uygur coronary heart disease related knowledge man agement dimensions （P〉0.05）, in the daily life management dimension and cognitive dimension of awareness manage- ment both are statistical significance （P〈0.05）; multivariate analysis showed Han patients with coronary artery disease self-management impact factors are： education degree, degree of understanding , type of medical insurance; Factors of self management effect of Uygur patients with coronary heart disease were education degree, course of disease and type of medical insurance. Conclusion： Patients live in Xinjiang YiNing area with coronary artery disease , they self-management level is relatively low, degree of self-management are different between Han and Uygur ethnic, need more effects to strengthen health education and intervention on the influence factors in Yining area, in order to im prove the level of self management in patients with coronary heart disease, reduce the cost of medical care.