| 卫攀,李小妹.冠心病患者疾病感知和健康行为依从性相关性研究[J].上海护理,2021,21(5): |
| 冠心病患者疾病感知和健康行为依从性相关性研究 |
| Correlation between disease perception and health behavior compliance in patients with coronary heart disease |
| DOI： |
| 中文关键词: 冠心病 疾病感知 健康行为 依从性 |
| 英文关键词:Coronary Heart Disease Illness Perception Health Behavior Compliance |
| 基金项目: |
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| 中文摘要: |
| 目的：了解西安市冠心病患者疾病感知及健康行为依从性现状，探讨疾病感知和健康行为依从性的相关性，为临床开展冠心病患者健康行为管理干预提供参考依据。方法：方便抽取西安市4家医院进行常规复查的冠心病患者进行调查；采用一般资料调查表、简易疾病感知问卷（B-IPQ）、Godin休闲时间运动问卷、Morisky药物依从性量表、饮食吸烟咨询表评估患者的疾病感知信念以及健康行为依从性现状；评估疾病感知和健康行为依从性的相关性及预测价值。结果：回收有效问卷248份（有效应答率为95.4%），冠心病患者对疾病了解程度水平较高,相信能够通过自己和（或）适当的治疗控制病情。感知的主要病因与肥胖、高脂饮食、久坐生活方式等危险因素有关。调整后回归分析显示,个人控制（β=2.66,95%CI:1.25-4.04）、病程（β=1.85,95%CI:0.80-2.88）和疾病了解度（β=2.12,95%CI:0.35-3.90）为运动依从性的一个有力的预测感知。药物依从性由个人控制、治疗控制、疾病关注度感知预测。低脂饮食依从性通过疾病了解度感（OR=1.20,95%CI:1.04-1.33）进行预测。当前吸烟者更易认为他们的病情会持续很长时间，并对他们的生活产生诸多影响。结论：通过对冠心病患者疾病感知与健康行为依从性相关性探讨，对冠心病患者实施健康教育时，应重点强调这些尚未被患者认知的危险因素，用科学的理论方法进行有效干预, 增强其自我保健意识，自觉采取有利于健康的行为方式，增强其遵医行为，提高冠心病患者的生活质量, 防止心血管事件的发生。 |
| 英文摘要: |
| Objective: to investigate the status of disease perception and health behavior compliance in patients with coronary heart disease (chd) in Xi'an, and to explore the correlation between disease perception and health behavior compliance. METHODS: Coronary Heart Disease Patients from 4 hospitals in Xi'an were selected conveniently for routine follow-up General Questionnaire, B-ipq, Godin leisure time exercise questionnaire, Morisky drug compliance scale and Diet and smoking questionnaire were used to evaluate the status of patients'disease perception belief and health behavior compliance To evaluate the correlation and predictive value of disease perception and health behavior compliance. Results: A total of 248 questionnaires were collected (the effective response rate was 95.4%) . Patients with coronary heart disease (chd) had a high level of knowledge of the disease and believed that they could control the disease by themselves and / or proper treatment. The main etiologies of perception were associated with risk factors such as obesity, high-fat Diet and sedentary lifestyle. Adjusted Regression analysis showed that personal control (2.66,95% CI: 1.25-4.04) , disease duration (1.85,95% CI: 0.80-2.88) and Disease Awareness (2.12,95% CI: 0.35-3.90) were strong predictors of exercise compliance. Drug adherence was predicted by individual control, treatment control, and disease awareness. Low-fat diet compliance was predicted by disease awareness (or 1.20,95% CI: 1.04-1.33) . Current smokers are more likely to think their condition will last for a long time and have a lot of impact on their lives. Conclusion: By exploring the relationship between disease perception and health behavior compliance of patients with coronary heart disease, we should emphasize these risk factors which have not been recognized by patients when carrying out health education for patients with coronary heart disease, with scientific theory and methods to intervene effectively, enhance their awareness of self-health care, consciously adopt healthy behavior, enhance their compliance behavior, improve the quality of life of patients with coronary heart disease, prevent cardiovascular events. |
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