乌鲁木齐地区冠心病患者心理资本对健康促进行为的影响

Influence of psychological capital on health promotion behaviors of patients with coronary heart disease in Urumqi

目的了解冠心病患者健康促进行为现状,分析心理资本对健康促进行为的影响水平,为相关研究提供依据。方法采用便利抽样的方法,对2021年1月至3月在新疆医科大学第一附属医院心脏中心住院的360例冠心病患者进行一般资料问卷、积极心理资本问卷、健康促进生活方式量表Ⅱ调查。结果心理资本实际总得分为(121.8±17.2)分,健康促进行为实际总得分为(126.0±21.8)分。不同年龄、既往心理疾病史、文化程度冠心病患者健康促进行为及心理资本得分比较,差异有统计学意义(P<0.05)。心理资本水平各维度与健康促进行为各维度呈正相关(r>0,P<0.05)。多元线性回归结果显示,自我效能(a)、韧性(b)、希望(c)及乐观(d)是影响冠心病患者健康促进行为的相关因素(P<0.05)。回归方程如下:Y=0.55a-0.62b+0.98c+0.65d+71.08。结论心理资本对患者健康促进行为具有正向作用,提高冠心病患者心理资本水平有利于转变其健康促进行为。

Objective To understand the current situation of health promotion behavior of patients with coronary heart disease,and to analyze the impact of psychological capital on health promotion behavior,and to provide basis for relevant research.Methods Using convenience sampling,a total of 360 patients with coronary heart disease who were hospitalized in the Heart Center of the First Affiliated Hospital of Xinjiang Medical University from January to March 2021 were surveyed by general information questionnaire,positive psychological capital questionnaire,and health promotion lifestyle scaleⅡ.Results The actual total score of psychological capital was(121.8±17.2)points,and the actual total score of health promotion behavior was(126.0±21.8)points.There were statistically significant differences in the health promotion behavior and psychological capital scores of patients with coronary heart disease of different ages,past mental illness history,and educational level(P<0.05).The level of psychological capital dimensions were positively correlated with health promotion behaviors dimensions(r>0,P<0.05).The results of multiple linear regression showed that self-efficacy(a),resilience(b),hope(c)and optimism(d)were related factors that affect the health promotion behavior of patients with coronary heart disease(P<0.05).The regression equation was as follows:Y=0.55a-0.62b+0.98c+0.65d+71.08.Conclusion Psychological capital has a positive effect on the health promotion behavior of patients,and improving the level of psychological capital of patients with coronary heart disease is conducive to changing their health promotion behavior.