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冠心病患者自我管理行为潜在剖面及其影响因素分析(PDF)

《现代预防医学》[ISSN:1003-8507/CN:51-1365/R]

期数:
2022年14期
页码:
2635-2639
栏目:
健康与社会行为
出版日期:
2022-07-30

文章信息/Info

Title:
Analysis of potential profiles of self-management behaviors and their influencing factors in patients with coronary artery disease
作者:
辛春兰1孙慧敏2
1. 郑州市中医院脾胃肝病科,河南 郑州 450007;
2. 郑州市中医院心血管科
Author(s):
XIN Chun-lan* SUN Hui-min
*Department of Spleen, Gastrointestinal and Liver Diseases, Zhengzhou Hospital of Traditional Chinese Medicine, Zhengzhou, Henan 450007, China
关键词:
冠心病自我管理健康行为潜在类别分析影响因素
Keywords:
Coronary heart disease Self-management Health behaviors Latent class analysis Influencing factors
分类号:
R473.5
DOI:
10.20043/j.cnki.MPM.202111620
文献标识码:
A
摘要:
目的 探讨冠心病患者自我管理行为的潜在分类,并分析不同类别的影响因素。方法 采用便利抽样的方法于2021年8月—2021年11月对郑州市某三级甲等医院心内科750名患者进行调查。调查内容包括一般资料、冠心病相关知识评价调查表、Champion健康信念模型量表和冠心病自我管理行为量表。采用Mplus 7.4对冠心病患者自我管理行为进行潜在剖面分析,并通过logistic回归分析潜在分类的影响因素。结果 本研究共纳入716例研究对象,平均年龄为(63.32±9.86)岁。最终识别出三个自我管理行为的潜在类别,分别为“自我管理行为较好-情绪调节无效型”(33%,n = 236)、“自我管理行为中等-急救管理缺乏型”(35%,n = 251)和“自我管理行为较差-依从管理不良型”(32%,n = 229)。Logistic回归分析得到年龄较大(OR = 2.610,95%CI:1.930~3.529)和心功能较差(OR = 2.450,95%CI:1.616~3.714)是自我管理行为的危险因素,有配偶(OR = 0.987,95%CI:0.769~.998)、受教育时间较长(OR = 0.697,95%CI:0.311~0.958)、家庭月收入较高(OR = 0.511,95%CI:0.176~0.883)、PSK - CHD得分较高(OR = 0.210,95%CI:0.089~0.497)和CHBMS得分较高(OR = 0.971,0.363~0.997)是自我管理行为的保护因素。结论 本研究确定了冠心病患者自我管理行为的三种潜在分类和预测因素,这为医务人员制定针对性的临床干预措施提供依据。
Abstract:
Objective To explore the potential classification of self-management behaviors in patients with coronary heart disease and to analyze the influencing factors of different categories. Methods A convenience sampling method was used to survey 750 patients in the cardiology department of a tertiary care hospital in Zhengzhou from August 2021 to November 2021. The survey included general information, coronary heart disease-related knowledge evaluation questionnaire, Champion Health Belief Model Scale and Coronary Heart Disease Self-Management Behavior Scale. Mplus 7.4 was used to analyze the potential profiles of self-management behaviors of patients with coronary heart disease, and the factors influencing the potential classification were analyzed by logistic regression. Results A total of 716 participants with a mean age of 63.32±9.86 years were included in this study. Three potential categories of self-management behaviors were finally identified: “good self-management behavior-ineffective emotion regulation” (33%, n=236), “moderate self-management behavior-lack of first aid management” (35%, n=251), and “poor self-management behavior-poor compliance management type” (32%, n=229). Logistic regression analysis showed that older age (OR=2.610, 1.930 to 3.529) and poor cardiac function (OR=2.450, 1.616 to 3.714) were self-management behavior risk factors, while spouse(OR=0.987, 0.769 to 0.998), longer education duration (OR=0.697, 0.311 to 0.958), higher monthly household income (OR=0.511, 0.176 to 0.883), higher PSK-CHD scores (OR=0.210, 0.089 to 0.497) and CHBMS scores (OR=0.971, 0.363 to 0.997) were protective factors for self-management behaviors. Conclusion This study identifies three potential classifications and predictors of self-management behaviors in patients with coronary heart disease, which provides a basis for medical professionals to develop targeted clinical interventions.

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备注/Memo

备注/Memo:
基金项目:河南省中医药科学研究专项课题(20 - 21ZY2271)
作者简介:辛春兰(1975—),女,本科,主管护师 , 研究方向:慢性病护理
通信作者:辛春兰,E-mail:xinchunlan369@126.com
更新日期/Last Update: 2022-07-28