冠心病患者自我管理能力的影响因素分析

Analysis of Influencing Factors of Self-management Ability in Patients with Coronary Heart Disease

目的:探讨冠心病患者自我管理能力(SMA)的影响因素。方法:采用便利抽样方式选择2020年1-8月就诊于宜春市中医院的96例冠心病患者,分析冠心病患者自我管理能力的影响因素。结果:冠心病患者冠心病自我管理量表(CSMS)评分为(55.48±10.32)分。单因素分析显示,不同性别、婚姻状况、文化程度、家庭人均月收入、患病年限、医疗费用支付方式、近一年发病次数冠心病患者的CSMS评分比较,差异均有统计学意义(P<0.05)。不同年龄、民族冠心病患者的CSMS评分比较,差异均无统计学意义(P>0.05)。多因素分析显示,性别、婚姻状况、文化程度、家庭人均月收入、患病年限、医疗费用支付方式、近一年发病次数是冠心病患者自我管理能力的影响因素(P<0.05)。结论:冠心病患者SMA受性别、婚姻状况、文化程度、家庭人均月收入、患病年限、医疗费用支付方式、近一年发病次数影响。

Objective:To explore the influencing factors of self-management ability(SMA)in patients with coronary heart disease.Method:A total of 96 coronary heart disease patients admitted to Yichun Traditional Chinese Medicine Hospital from January to August 2020 were selected by convenience sampling method,the influencing factors of self-management ability of coronary heart disease patients were analyzed.Result:The score of coronary self-management scale(CSMS)was(55.48±10.32)score.Single factor analysis showed that there were significant differences in CSMS scores of coronary heart disease patients with different gender,marital status,education level,per capita monthly income of family,years of illness,payment method of medical expenses and incidence times in the past year(P<0.05).There were no significant differences in CSMS scores of coronary heart disease patients with different ages and nationalities(P>0.05).Multi-factor analysis showed that gender,marital status,educational level,per capita monthly income of family,years of illness,payment method of medical expenses and incidence times in past year were influencing factors of self-management ability of coronary heart disease patients(P<0.05).Conclusion:SMA in patients with coronary heart disease is affected by gender,marital status,education level,per capita monthly income of family,years of illness,payment method of medical expenses and incidence times in past year.