冠心病病人危险因素和自我管理行为的调查与分析

Investigation and analysis of risk factors and self-management behavior of patients with coronary heart disease

[目的]了解住院冠心病病人危险因素和自我管理行为的现状,分析二者的关系。[方法]采用描述性研究设计,应用冠心病危险因素病人调查表、冠心病自我管理行为量表(CSMS)对北京市某医院心内科病房100例冠心病病人进行问卷调查。[结果]住院冠心病病人自我管理行为总体情况较差;ANOVA单因素方差分析显示,随着冠心病危险因素数目的增多,自我管理行为总分下降(P<0.05)。[结论]要加强住院冠心病病人自我管理行为的健康教育,可根据危险因素的数目制定个性化的健康教育策略,达到有效控制冠心病危险因素,延缓病情进展,提高病人生活质量的目的。

Objective:To understand the risk factors and status quo of self-management behavior of hospitalized patients with coronary heart disease(CHD),and analyzed the relationship between them.Methods:By using descriptive study design,aquestionnaire survey was conducted on 100 patients with CHD of cardiology department from a hospital in Beijing,including Coronary heart disease risk factors questionnaire and Coronary artery disease Self-management Scale(CSMS).Results:The overall situation of self-management behavior of hospitalized patients with CHD was poor.ANOVA single factor analysis of variance showed that the total score of self-management behavior decreased with the increase of the number of risk factors of CHD(P<0.05).Conclusion:To strengthen the health education of self-management behavior of hospitalized patients with CHD,individual health education strategies could be formulated according to the number of risk factors,in order to achieve the goals including control the risk factors of CHD effectively,delay the progress of the disease and improve the quality of life of patients.