冠状动脉内支架植入术后患者社会资源对自我管理行为的影响

发布时间：2018-07-16 20:29

【摘要】：目的探讨冠状动脉内支架植入术后患者社会资源对自我管理行为的影响,为护理人员预测该类患者的自我管理行为和制定行为干预措施提供实证依据。方法纳入2013年7月-12月复查随访的冠状动脉内支架植入术后患者,采用一般资料调查表、慢性病资源量表(CIRS)、冠状动脉粥样硬化性心脏病自我管理量表(CSMS)进行问卷调查。结果共纳入359例患者。CIRS总量表均分为(2.77±0.60)分,各维度得分从高到低依次为:邻里社区支持、媒体政策支持、家人朋友支持、自我调节、医护人员支持、社团组织支持;由于工作环境支持的应答率较低,所以未纳入描述和分析。CSMS总分为(55.58±10.59)分,各维度得分从高到低依次为:日常生活管理、情绪管理、疾病医学管理。CIRS总分及各维度与CSMS总分及各维度基本呈正相关(r=0.183~0.663,P0.05),但医护人员支持、家人朋友支持与日常生活管理呈负相关(r=-0.215,-0.294;P0.05)。结论患者获得的社会资源总体水平偏低;自我管理处于中等水平,其中疾病医学管理水平最差;良好的社会资源有利于促进患者的自我管理,而来自医护人员和家人朋友的支持则有碍于患者的日常生活管理。
[Abstract]:Objective to investigate the influence of social resources on self-management behavior after coronary stent implantation, and to provide empirical evidence for nursing staff to predict self-management behavior and formulate behavioral intervention measures. Methods the patients who were followed up from July to December 2013 were investigated with general information questionnaire, chronic disease resource scale (CIRS) and coronary atherosclerotic heart disease self-management scale (CSMS). Results in 359 patients, the total number of CIRS was (2.77 卤0.60). The scores of each dimension from high to low were: neighborhood community support, media policy support, family and friend support, self-regulation, medical staff support, community organization support; The total score of CSMS was (55.58 卤10.59) because of the low response rate supported by the work environment. The scores of each dimension were as follows: daily life management, emotion management. The total score and dimensions of disease medicine management were positively correlated with CSMS total score and each dimension (P 0.05), but there was a negative correlation between medical staff support, family and friends support and daily life management (r = -0.215- 0.294P 0.05). Conclusion the overall level of social resources acquired by patients is on the low side, the level of self-management is at the middle level, and the level of medical management of disease is the worst, and good social resources are helpful to promote the self-management of patients. Support from health care workers and family and friends hinders the management of patients' daily life.
【作者单位】：四川大学华西医院护理部/华西护理学院;
【分类号】：R473.5

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