冠心病住院患者健康自我管理现状及影响因素分析

发布时间：2018-01-22 23:37

本文关键词： 冠心病健康自我管理影响因素　出处：《华北理工大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的了解冠心病患者的健康自我管理现状;分析冠心病患者健康自我管理的影响因素。方法于2014年10月~2015年9月期间对华北理工大学附属医院心血管内科住院治疗的冠心病患者进行问卷调查,包括一般人口学特征、冠心病自我管理行为量表(CSMS)及其日常生活能力量表(ADL)、APGAR家庭功能问卷、社会支持评定量表(SSRS)等因素调查表。所有的数据录入Excel表并导入SPSS17.0统计学软件进行统计分析,具体方法为:描述性分析计数资料采用例数、百分比表示,计量资料作方差分析,单因素分析计量资料运用独立样本t检验及方差分析,多因素进行多元线性回归分析。结果1冠心病患者的健康自我管理现状:健康自我管理总得分为(55.52±11.12)分,处于中等偏下水平。2影响冠心病患者健康自我管理的单因素分析:(1)健康自我管理总水平在性别、年龄、职业、婚姻状况、文化程度、居住地、体重指数、家庭类型、个人月收入、医保类型、承担治疗费用、心功能分级、接受健康教育、冠心病首复发、患病年限、近一年发病次数、住院次数、手术治疗、长期用药、日常生活能力、家庭功能、子女关心、子女安排体检、与子女交流、家人有无督促就医、家人行为指正、患病时有无家人陪伴、对家人关怀满意度、社会支持、与他人交流、社区服务等差异均有统计学意义(P0.01);(2)日常生活管理维度在性别、年龄、民族、职业、婚姻状况、文化程度、居住地、体重指数、家庭类型、个人月收入、医保类型、承担治疗费用、心功能分级、接受健康教育、冠心病首复发、患病年限、近一年发病次数、住院次数、手术治疗、长期用药、日常生活能力、家庭功能、子女关心、子女安排体检、与子女交流、家人督促就医、家人行为指正、患病时有无家人陪伴、对家人的关怀满意度、社会支持、与他人交流、社区服务间差异具有统计学意义(P0.01);(3)疾病医学管理维度在性别、年龄、职业、婚姻状况、文化程度、居住地、体重指数、家庭类型、个人月收入、医保类型、承担治疗费用、心功能分级、接受健康教育、首复发情况、患病年限、近一年发病次数、住院次数、手术治疗、长期用药、日常生活能力、家庭功能、子女关心、子女安排体检、与子女交流、家人督促就医、家人行为指正、患病时有无家人陪伴、对家人的关怀满意度、社会支持、与他人交流、社区服务间差异均具有统计学意义(P0.01);(4)情绪管理维度在性别、年龄、民族、职业、婚姻状况、文化程度、居住地、体重指数、家庭类型、个人月收入、医保类型、承担治疗费用、心功能分级、接受健康教育、首复发情况、患病年限、近一年发病次数、住院次数、手术治疗、长期用药、日常生活能力、家庭功能、子女关心、子女定期安排体检、与子女交流、家人督促就医、家人行为指正、患病时有无家人陪伴、对家人的关怀满意度、社会支持、与他人交流、社区服务间差异均具有统计学意义(P0.01)。3影响冠心病患者健康自我管理多因素分析:(1)健康自我管理总评分的相关影响因素依次为发病次数、日常生活能力、社区服务、子女关心、体重指数、医保类型、心功能分级、家人行为指正、患病年限、个人月收入、接受健康教育、与他人交流、家人督促就医、社会支持;(2)与日常生活管理维度相关的因素依次为社区服务、发病次数、体重指数、性别、心功能分级、个人月收入、子女关心、日常生活能力、职业、居住地、社会支持、社会支持、家人陪伴、长期服药、婚姻状况、民族;(3)与疾病医学管理维度相关的因素依次为发病次数、日常生活能力、子女关心、社区服务、冠心病首复发、长期服药、医保类型、住院次数、性别、接受健康教育、家人行为指正;(4)与情绪管理维度相关因素依次为日常生活能力、能否承担治疗费用、住院次数、家庭功能、子女安排体检、社会支持、家庭类型、与子女交流、体重指数、患病年限、是否长期服药、家人督促就医、接受健康教育、职业、家人行为指正、民族。结论1冠心病患者的健康自我管理总水平得分为(55.52±11.12)分,处于中等偏下水平,健康自我管理现状不容乐观。2多因素分析结果显示,与冠心病患者健康自我管理总评分相关的影响因素依据标准回归系数由大到小依次为:发病次数、日常生活能力、社区服务、子女关心、体重指数、医保类型、心功能分级、家人行为指正、患病年限、个人月收入、接受健康教育、与他人交流、家人督促就医、社会支持。与冠心病患者健康自我管理三个维度相关的主要影响因素为性别、子女关心、能否承担治疗费用等。
[Abstract]:Objective to understand the health status of patients with coronary heart disease self management; analysis of influencing factors of patients with coronary heart disease health self management. In October 2014 ~2015 year in September during the period of the North China Polytechnic University Hospital cardiovascular internal medicine inpatient treatment of patients with coronary heart disease questionnaire, including demographic characteristics, disease self management behavior scale (CSMS) and the ability of daily life scale (ADL), APGAR family function questionnaire, social support rating scale (SSRS) and other factors questionnaire. Statistical analyses of all data entry into SPSS17.0 Excel table and statistical software, the specific method is: descriptive analysis of count data by the number of cases, percentage of measurement data, variance analysis, single factor analysis and measurement data analysis using independent samples t test and ANOVA, multivariate multiple linear regression analysis. Results of the 1 patients with coronary heart disease health self Management status: health self-management total score was (55.52 + 11.12) points at the middle level of.2 single factor in patients with coronary heart disease health self-management analysis: (1) health self-management in the general level of gender, age, occupation, marital status, educational level, residence, BMI, family type, individual monthly income, health insurance type, bear the cost of treatment, heart function classification, health education, the first coronary heart disease recurrence, duration of disease, nearly a year of incidence, times of hospitalization, surgical treatment, long-term medication, ability of daily life, family function, child care, children arrange a medical examination, communicate with their children, family has no urge for medical treatment family behavior of illness have no family companionship, care for family satisfaction, social support, communication with others, community service and other differences were statistically significant (P0.01); (2) the management of daily life in the dimensions of gender, age, nationality, position Industry, marital status, educational level, residence, BMI, family type, personal income, health insurance type, bear the cost of treatment, heart function classification, health education, the first coronary heart disease recurrence, duration of disease, nearly a year of incidence, times of hospitalization, surgical treatment, long-term medication, ability of daily life, family function children, child care, arrangement of examination, communicate with their children, family to medical treatment, family behavior of illness is accompanied by family members, family care satisfaction, social support, communication with others, statistically significant differences between the community service (P0.01); (3) the management of medical dimension in gender, age, occupation, marital status, educational level, residence, BMI, family type, personal income, health insurance type, bear the cost of treatment, heart function classification, receiving health education, the first relapse, duration of disease, the incidence of hospitalization for nearly a year. The number of surgical treatment, long-term medication, ability of daily life, family function, child care, children arrange a medical examination, communicate with their children, family to medical treatment, family behavior of illness is accompanied by family members, family care satisfaction, social support, communication with others, the difference between community service were statistically significant (P0.01); (4) emotion management dimensions in gender, age, nationality, occupation, marital status, educational level, residence, BMI, family type, personal income, health insurance type, bear the cost of treatment, heart function classification, health education, first relapse, duration of disease, the incidence of hospitalization for nearly a year. The number of surgical treatment, long-term medication, ability of daily life, family function, child care, children of regular physical examination, communicate with their children, family medical supervision, family behavior of illness is accompanied by family members, family care is full Satisfaction, social support, communication with others, the difference between community service were statistically significant (P0.01) analysis of self management of multi factor.3 in patients with coronary heart disease: (1) health related factors of health self-management score in the incidence, the ability of daily life, community service, child care, body mass index, type of medical insurance heart function, classification, behavior of family, duration, personal income, health education, family to communicate with others, medical treatment, social support; (2) and daily life management factors related dimensions followed by the community service, the incidence number, gender, body mass index, heart function classification, personal income, children care, daily life ability, occupation, residence, social support, social support, family, long-term medication, marital status, nationality; (3) the related factors of medical management dimension are incidence, daily life The ability to live, child care, community service, the first coronary heart disease recurrence, long-term medication, type of medical insurance, hospitalization, gender, health education, family behavior.; (4) factors associated with emotion management dimensions in daily life ability, can bear the cost of treatment, hospitalization, family function, children arrange a medical examination, social support communicate with their children, family type, body mass index, duration of disease, whether long-term medication, family to medical treatment, health education, occupation, family behavior of ethnic groups. Conclusion: 1 patients with coronary heart disease health self-management level score (55.52 + 11.12) points at the middle level, the health situation is not self management optimistic.2 multi factor analysis showed that patients with coronary heart disease and health self-management factors related to total score according to the standard regression coefficient from big to small is as follows: the incidence, the ability of daily life, agency Service area, child care, body mass index, type of medical insurance, heart function classification, family behavior. The prevalence, age, personal income, health education, family to communicate with others, medical treatment, social support and self health management of patients with coronary heart disease. The main influence factors of three dimensions related to gender, child care, can bear the cost of treatment.

【学位授予单位】：华北理工大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R473.5

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