新疆维吾尔族早发冠心病患者疾病认知率的影响因素分析

Path analysis of factors affecting cognition rate of Xinjiang Uygur patients with premature coronary heart disease

目的探讨新疆地区维吾尔族早发冠心病患者对冠心病相关知识的认知率及影响认知的因素,以指导对患者进行个性化健康宣传教育工作。方法随机抽取我院门诊及住院治疗的120例维吾尔族早发冠心病患者作为调查对象,使用自行设计的调查问卷进行调查,分析调查对象对冠心病相关知识知晓率及其影响因素。结果维吾尔族早发冠心病患者对冠心病相关知识的认知率相对较低,平均得分为(27.17±6.12)分,平均得分率为45.32%;不同性别、文化程度、病程、收入水平、报销方式、婚姻状况、家庭关心程度之间在疾病认知水平上差异有统计学意义(P<0.05);路径分析结果显示:影响维吾尔族早发冠心病患者认知情况的因素从大到小为:文化程度、报销方式、收入水平、家属关心、婚姻以及性别。结论对于低学历、低收入、公费、家庭关心程度低、女性的维吾尔族早发冠心病患者应引起足够的重视,在入院时即进行规范的健康教育,从而较快、较好地提高新疆维吾尔族早发冠心病患者对此疾病的认知水平,改善预后、预后再次发生,减少医疗费用等。

Objective To investigate the cognition rate of Xinjiang Uygur patients with premature coronary heart disease( CHD) on CHD related knowledge,and to analyze its influence factors so as to guide the personalized health propaganda and education for patients.Methods 120 cases with premature CHD were randomly selected from our hospital as research objects,using the self-designed questionnaire to investigate their awareness rate of CHD related knowledge and its influencing factors. Results Uygur patients with premature CHD had relatively low awareness rate on CHD related knowledge,and the average score was( 27. 17 ± 6. 12),the average score rate 45. 32%. There were statistically significant differences in the cognitive levels within different gender,degree of education,course of disease,income level,reimbursement method,marital status,and family care degree( P < 0. 05). Results of path analysis showed that,factors affecting cognitive status of Uygur patients with premature CHD,in descending order,were degree of education,reimbursement method,income level,family care,marriage and gender. Conclusion To the Uygur premature CHD patients with low education or low income,at non- state expense,lack of family care,or of female gender,enough attention should be paid at the time of admission. And early standard health propaganda and education for them can better improve their disease cognitive level and prognosis,further reducing the recurrence rate and medical costs of Xinjiang Uygur patients with premature CHD.