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冠心病患者恐惧疾病进展对自我管理意向的影响

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目的 探讨冠心病患者恐惧疾病进展和自我管理意向现状,分析冠心病患者的恐惧疾病进展对自我管理意向的影响及因素.方法 采用冠心病患者一般资料问卷、恐惧疾病进展量表和自我管理意向问卷对河南大学淮河医院心内科住院的256例冠心病患者进行调查.采用多重线性逐步回归法进行自我管理意向多因素分析及恐惧疾病进展和自我管理意向的相关性分析.结果 冠心病患者自我管理意向总分为(82.02±9.68)分,多重线性逐步回归分析结果显示冠心病患者性别、医疗费用所占月收入比率、家族史、恐惧疾病进展是冠心病患者自我管理意向的影响因素(P<0.001).结论 冠心病患者恐惧疾病进展得分较高,自我管理意向得分较低,医务人员应实施有效的个性化心理干预,激发患者进行有效自我管理的积极性,促使患者主动参与疾病管理,有效执行自我管理.
Effect of Fear of Disease Progression on Self-management Intention in Patients with Coronary Heart Disease
Objective To investigate the status quo of fear disease progression and self-management intention in patients with coronary heart disease,and to analyze the influence of fear disease progression on self-management intention and its factors.Methods A total of 256 patients with coronary heart disease admitted to the Department of Cardiology,Huaihe Hospital of Henan University were investigated by means of the general data questionnaire,fear disease progression scale and self-management intention questionnaire.Multiple stepwise regression was used to analyze the multi-factor analysis of self-management intention and the correlation between the progression of fear disease and self-management intention.Results The total score of self-management intention in patients with coronary heart disease was(82.02±9.68)points.The results of multiple linear stepwise regression analysis showed that gender,ratio of medical expenses to income,family history,fear of disease progression were the influencing factors of self-management intention in patients with coronary heart disease(P<0.001).Conclusion Patients with coronary heart disease have high fear of disease progression score and low self-management intention.Medical staff should implement effective personalized psychological intervention to stimulate patients'enthusiasm for effective self-management,and encourage patients to actively participate in disease management and effectively implement self-management.

coronary heart diseasefear of disease progressionself-managementinvestigation and researchimpact factor

张艳、张欢欢、张钦钦、王珊珊、刘洁

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河南大学淮河医院护理部,河南开封 475000

河南大学淮河医院心内科,河南开封 475000

冠心病 恐惧疾病进展 自我管理 调查研究 影响因素

开封市科技发展项目

2204025

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(3)
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