冠心病患者心理弹性与自我管理效能的相关性

Correlation between psychological resilience and self-management efficacy in patients with coronary heart disease

目的:探讨冠心病患者心理弹性与自我管理效能的相关性。方法:选取60例冠心病患者为研究对象,于患者入院后采用中文版心理弹性量表(CD-RISC)和健康促进生活方式评定量表(HPLPⅡ)评估其心理弹性及自我管理效能等级(差、一般、良好、优),分析冠心病患者心理弹性与自我管理效能的相关性。结果:60例冠心病患者中,自我管理效能差10例(16.67%),自我管理效能一般15例(25.00%),自我管理效能良好24例(40.00%),自我管理效能优11例(18.33%);自我效能优的冠心病患者自强、坚韧、乐观及CD-RISC总分最高,其次为自我管理效能良好者、自我管理效能一般者,而自我管理效能差的冠心病患者自强、坚韧、乐观及CD-RISC总分最低,差异有统计学意义(P<0.05);经Kendall’s tau-b相关性分析结果显示,冠心病患者心理弹性与自我管理效能呈正相关(r>0,P<0.05)。结论:冠心病患者心理弹性与自我管理效能呈正相关,心理弹性水平越高,其自我管理效能越好。

Objective:To explore correlation between psychological resilience and self-management efficacy in patients with coronary heart disease.Methods:60 patients with coronary heart disease were selected as the research objects.After admission,the Chinese version of Connor—Davidson resilience scale(CD-RISC)and the health-promoting lifestyle profile II(HPLP II)were used to evaluate their psychological resilience and self-management efficacy grade(poor,fair,good,excellent).Then,the correlation between psychological resilience and self-management efficacy in these patients with coronary heart disease was analyzed.Results:Among the 60 patients with coronary heart disease,10(16.67%)had poor selfmanagement efficacy,15(25.00%)had fair self-management efficacy,24(40.00%)had good self-management efficacy,and 11(18.33%)had excellent self-management efficacy(18.33%).The coronary heart disease patients with excellent self-efficacy had the highest total scores of self-improvement,tenacity,optimism and CD-RISC,followed by those with good self-management efficacy and fair self-management efficacy;those scores and the RISC total score of the coronary heart disease patients with poor self-management efficacy was the lowest;and the differences were statistically significant(P<0.05).The Kendall’s tau-b correlation analysis showed that there was a positive correlation between psychological resilience and selfmanagement efficacy in the patients with coronary heart disease(r>0,P<0.05).Conclusions:There is a positive correlation between psychological resilience and self-management efficacy in the patients with coronary heart disease.The higher the psychological resilience level is,the better the selfmanagement efficacy is.