心理一致感对青年急性心肌梗死患者心脏康复知识和自我管理行为的影响

Sense of Coherence in Young Patients with Acute Myocardial Infarction and Its Influence on Rehabilitation Knowledge and Self-management Behaviors

目的:探讨青年急性心肌梗死(AMI)患者的心理一致感(SOC)现状及其对心脏康复知识和自我管理行为的影响。方法:使用方便抽样选取109例青年心肌梗死患者作为研究对象。采用心理一致感量表、冠心病康复知识问卷和冠心病自我管理行为量表进行调查。结果:研究对象心理一致感得分为(70.16±12.28)分,处于中等水平;冠心病康复知识得分为(73.11±11.25)分;自我管理行为总分为(83.36±12.41)分,总得分率为61.75%。不同SOC水平的研究对象,其冠心病康复知识和自我管理行为间的差异均有统计学意义(P<0.05)。结论:医护人员应引导AMI患者以平和的心态面对疾病,鼓励并指导患者调动可利用的一切资源来面对疾病带来的挑战,提高患者的心理一致感,促进其身心健康发展。

Objective：To investigate the sense of coherence in young patients with acute myocardial infarction, so as to explore its influence on rehabilitation knowledge and self-management behaviors. Methods：A total of 109 qualified young acute myocardial infarction patients were recruited by convenience sampling. Sense of coherence-13, coronary artery disease rehabilitation knowledge questionnaire and coronary artery disease self-management scale were applied to collect data. Results：The score of sense of coherence was（70.16±12.28）, which was in the middle level. The score of rehabilitation knowledge was（73.11±11.25）. The score of self-management was（83.36±12.41） with the scoring rate of 61.75%. There were significant differences in rehabilitation knowledge and self-management behavior among participants with different SOC levels（P〈0.05）. Conclusion：The health workers should guide the patients to face the disease with peace of mind, encourage and instruct them to utilize all available resources to face the challenges brought by the disease, improve the sense of coherence, and promote the development of physical and mental health.