本文關(guān)鍵詞： 冠心病 健康自我管理 影響因素　出處：《華北理工大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

【摘要】：目的了解冠心病患者的健康自我管理現(xiàn)狀;分析冠心病患者健康自我管理的影響因素。方法于2014年10月~2015年9月期間對華北理工大學(xué)附屬醫(yī)院心血管內(nèi)科住院治療的冠心病患者進行問卷調(diào)查,包括一般人口學(xué)特征、冠心病自我管理行為量表(CSMS)及其日常生活能力量表(ADL)、APGAR家庭功能問卷、社會支持評定量表(SSRS)等因素調(diào)查表。所有的數(shù)據(jù)錄入Excel表并導(dǎo)入SPSS17.0統(tǒng)計學(xué)軟件進行統(tǒng)計分析,具體方法為:描述性分析計數(shù)資料采用例數(shù)、百分比表示,計量資料作方差分析,單因素分析計量資料運用獨立樣本t檢驗及方差分析,多因素進行多元線性回歸分析。結(jié)果1冠心病患者的健康自我管理現(xiàn)狀:健康自我管理總得分為(55.52±11.12)分,處于中等偏下水平。2影響冠心病患者健康自我管理的單因素分析:(1)健康自我管理總水平在性別、年齡、職業(yè)、婚姻狀況、文化程度、居住地、體重指數(shù)、家庭類型、個人月收入、醫(yī)保類型、承擔治療費用、心功能分級、接受健康教育、冠心病首復(fù)發(fā)、患病年限、近一年發(fā)病次數(shù)、住院次數(shù)、手術(shù)治療、長期用藥、日常生活能力、家庭功能、子女關(guān)心、子女安排體檢、與子女交流、家人有無督促就醫(yī)、家人行為指正、患病時有無家人陪伴、對家人關(guān)懷滿意度、社會支持、與他人交流、社區(qū)服務(wù)等差異均有統(tǒng)計學(xué)意義(P0.01);(2)日常生活管理維度在性別、年齡、民族、職業(yè)、婚姻狀況、文化程度、居住地、體重指數(shù)、家庭類型、個人月收入、醫(yī)保類型、承擔治療費用、心功能分級、接受健康教育、冠心病首復(fù)發(fā)、患病年限、近一年發(fā)病次數(shù)、住院次數(shù)、手術(shù)治療、長期用藥、日常生活能力、家庭功能、子女關(guān)心、子女安排體檢、與子女交流、家人督促就醫(yī)、家人行為指正、患病時有無家人陪伴、對家人的關(guān)懷滿意度、社會支持、與他人交流、社區(qū)服務(wù)間差異具有統(tǒng)計學(xué)意義(P0.01);(3)疾病醫(yī)學(xué)管理維度在性別、年齡、職業(yè)、婚姻狀況、文化程度、居住地、體重指數(shù)、家庭類型、個人月收入、醫(yī)保類型、承擔治療費用、心功能分級、接受健康教育、首復(fù)發(fā)情況、患病年限、近一年發(fā)病次數(shù)、住院次數(shù)、手術(shù)治療、長期用藥、日常生活能力、家庭功能、子女關(guān)心、子女安排體檢、與子女交流、家人督促就醫(yī)、家人行為指正、患病時有無家人陪伴、對家人的關(guān)懷滿意度、社會支持、與他人交流、社區(qū)服務(wù)間差異均具有統(tǒng)計學(xué)意義(P0.01);(4)情緒管理維度在性別、年齡、民族、職業(yè)、婚姻狀況、文化程度、居住地、體重指數(shù)、家庭類型、個人月收入、醫(yī)保類型、承擔治療費用、心功能分級、接受健康教育、首復(fù)發(fā)情況、患病年限、近一年發(fā)病次數(shù)、住院次數(shù)、手術(shù)治療、長期用藥、日常生活能力、家庭功能、子女關(guān)心、子女定期安排體檢、與子女交流、家人督促就醫(yī)、家人行為指正、患病時有無家人陪伴、對家人的關(guān)懷滿意度、社會支持、與他人交流、社區(qū)服務(wù)間差異均具有統(tǒng)計學(xué)意義(P0.01)。3影響冠心病患者健康自我管理多因素分析:(1)健康自我管理總評分的相關(guān)影響因素依次為發(fā)病次數(shù)、日常生活能力、社區(qū)服務(wù)、子女關(guān)心、體重指數(shù)、醫(yī)保類型、心功能分級、家人行為指正、患病年限、個人月收入、接受健康教育、與他人交流、家人督促就醫(yī)、社會支持;(2)與日常生活管理維度相關(guān)的因素依次為社區(qū)服務(wù)、發(fā)病次數(shù)、體重指數(shù)、性別、心功能分級、個人月收入、子女關(guān)心、日常生活能力、職業(yè)、居住地、社會支持、社會支持、家人陪伴、長期服藥、婚姻狀況、民族;(3)與疾病醫(yī)學(xué)管理維度相關(guān)的因素依次為發(fā)病次數(shù)、日常生活能力、子女關(guān)心、社區(qū)服務(wù)、冠心病首復(fù)發(fā)、長期服藥、醫(yī)保類型、住院次數(shù)、性別、接受健康教育、家人行為指正;(4)與情緒管理維度相關(guān)因素依次為日常生活能力、能否承擔治療費用、住院次數(shù)、家庭功能、子女安排體檢、社會支持、家庭類型、與子女交流、體重指數(shù)、患病年限、是否長期服藥、家人督促就醫(yī)、接受健康教育、職業(yè)、家人行為指正、民族。結(jié)論1冠心病患者的健康自我管理總水平得分為(55.52±11.12)分,處于中等偏下水平,健康自我管理現(xiàn)狀不容樂觀。2多因素分析結(jié)果顯示,與冠心病患者健康自我管理總評分相關(guān)的影響因素依據(jù)標準回歸系數(shù)由大到小依次為:發(fā)病次數(shù)、日常生活能力、社區(qū)服務(wù)、子女關(guān)心、體重指數(shù)、醫(yī)保類型、心功能分級、家人行為指正、患病年限、個人月收入、接受健康教育、與他人交流、家人督促就醫(yī)、社會支持。與冠心病患者健康自我管理三個維度相關(guān)的主要影響因素為性別、子女關(guān)心、能否承擔治療費用等。
[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.

【學(xué)位授予單位】：華北理工大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R473.5

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