冠心病介入治疗后患者自我效能水平及其影响因素分析

Analysis of self-efficacy and its influencing factors in patients with coronary heart disease after interventional therapy

目的探讨冠心病介入治疗后患者自我效能水平及其影响因素。方法选取2017年1月至2018年3月在徐州医科大学附属医院接受PCI术治疗的冠心病患者130例进行研究。采用问卷调查的方式进行研究,研究工具:自制一般情况调查表、《中文版合理用药自我效能量表》、《冠心病饮食自我效能量表》。结果本次调查共发放调查问卷130份,其中回收有效问卷126份,回收率为96.92%。患者《中文版合理用药自我效能量表》平均得分为(19.28±5.13)分,《冠心病饮食自我效能量表》平均得分为(39.85±6.47)分。单因素分析结果显示《中文版合理用药自我效能量表》得分与性别、职业状况、居住地、家庭月收入、文化程度、吸烟史、饮酒史和运动情况有关,差异有统计学意义(P<0.05);《冠心病饮食自我效能量表》得分与性别、职业状况、居住地、家庭月收入、文化程度和饮酒史有关,差异有统计学意义(P<0.05)。多因素分析结果显示:性别、文化程度、运动情况为冠心病介入治疗后患者合理用药自我效能的独立性影响因素;家庭月收入、文化程度、饮酒史为冠心病介入治疗后患者健康饮食自我效能的独立性影响因素,差异有统计学意义(P<0.05)。结论冠心病介入治疗后患者安全用药及健康饮食自我效能水平均仍有较大的进步空间,合理用药自我效能主要与性别、文化程度、运动情况有关,健康饮食自我效能主要与家庭月收入、文化程度、饮酒史有关,临床上应加强对上述因素的干预.

To investigate the self-efficacy level of patients with coronary heart disease after inter-ventional therapy and its influencing factors.Methods A total of 130 patients with coronary heart disease who received PCI in this hospital from January 2017 to March 2018 were selected for the study.Questionnaires were used to conduct research and research tools:self-made general condition questionnaires,Chinese version of rational drug self-efficacy scale and coronary heart disease diet self-efficacy scale.Results A total of 130 questionnaires were distributed in this survey,of which 126 were valid,and the recovery rate was 96.92%.The average score of Chinese version of rational use self-efficacy scale was(19.28±5.13)points,and the average score of dietary efficacy scale for coronary heart dis-ease was(39.85±6.47)points.The results of single factor analysis showed that the score of Chinese version of rational drug use self-efficacy scale was related to gender,occupational status,residence,family monthly income,education level,smoking history,drinking history and exercise status,and the difference was satistically significant(P<0.05).The score of the diet self-efficacy scale for coronary heart disease and gender,occupational status,residence,family,and family monthly income,education level and drinking history were related,and the differences were satistically sig-nificant(P<0.05).The results of multi factor analysis showed that gender,education level and sports condition were independent factors of self-efficacy of rational drug use after coronary intervention.Family monthly income,education level and drinking history were the independent factors of healthy diet self-efficacy after coronary intervention,and the differences were satistically significant(P<0.05).Conclusions There is still much room for improvement in safe medi-cation and healthy diet self-efficacy after interventional treatment of coronary heart disease.Reasonable medication self-efficacy is mainly related to gender,education level,and exercise conditions.Healthy eating self-efficacy is mainly re-lated to family monthly income.Self-efficacy of healthy diet is mainly related to family monthly income,education level and drinking history.The intervention of the above factors should be strengthened clinically.