冠心病患者自责归因与健康促进生活方式的相关性分析

Correlation analysis between self-blame attribution and health-promoting lifestyle in patients with coronary heart disease

目的调查冠心病患者的自责归因和健康促进生活方式现状及两者的关系。方法采用便利抽样的方法,选取初次确诊冠心病患者256例为研究对象,应用一般资料调查问卷、心脏病自责归因量表和健康促进生活方式量表Ⅱ进行调查,分析冠心病患者自责归因与健康促进生活方式的相关性。结果256例冠心病患者自责归因量表总分为(24.92±7.15)分,自责归因在不同年龄、婚姻、月收入、文化程度及不同性别、是否有介入手术的得分比较,差异均有统计学意义(F分别=4.31、23.91、10.01、10.36,t分别=-5.52、-4.94,P均<0.05)。健康促进行为总得分为(91.30±11.83)分,在不同年龄、婚姻、职业、家庭月收入、文化程度、医保方式、否有介入手术及居住情况得分比较,差异均有统计学意义(F分别=12.60、5.87、5.04、13.80、6.36、10.50,t=-3.00,P均<0.05)。自责归因得分与健康促进行为得分呈正相关(r=0.31,P<0.05)。结论冠心病患者自责归因及健康促进行为处于中等水平,性别、年龄、婚姻、月收入、文化程度、是否有介入手术为影响患者自责归因的主要因素,冠心病患者自责归因可明显影响患者健康促进行为水平。

Objective To investigate the self-blame attribution and health-promoting lifestyle of patients with coronary heart disease,and explore the relationship between them.Methods A total of 256 patients who was diagnosed as coronary heart disease for the first time were selected as the research objects using the convenient sampling method.The general data questionnaire,cardiac self-blame attributions scale and health-promoting lifestyle profileⅡwere used for investigation to analyze the correlation between self-blame attribution and health-promoting lifestyle in patients with coronary heart disease.Results The self-blame attribution scores of patients with coronary heart disease was(24.92±7.15),differences in self-blame attribution scores with different age,marriage,average monthly family income,education level gender and whether there was interventional operation were statistically significant(F=4.31,23.91,10.01,10.36,t=-5.52,-4.94,P<0.05).The total score of health promotion behavior was(91.30±11.83),differences in health promotion behavior score with different age,marriage,professions,average monthly family income,education level gender,mode of medical insurance,whether there was interventional operation and type of habitation were statistically significant(F=12.60,5.87,5.04,13.80,6.36,10.50,t=-3.00,P<0.05).The score of self-blame attribution of patients with coronary heart disease was positively correlated with the health-promoting lifestyle score(r=0.31,P<0.05).Conclusion The self-blame attribution and health-promoting lifestyle of patients with coronary heart disease is at a medium level.gender,age,marriage,average monthly family income,education level and whether there is intervention operation are the main factors affecting the self-blame attribution of patients.The self-blame attribution of patients with coronary heart disease can significantly affect the health-promoting lifestyle level of patients.