老年冠心病患者自我感受负担现状分析及影响因素研究
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摘要
目的调查老年冠心病患者自我感受负担(SPB)现状并探讨其影响因素。方法采用便利抽样法对2018年2~9月于安徽医科大学第一附属医院和安徽医科大学第二附属医院住院治疗的229例老年冠心病患者进行问卷调查。使用一般资料调查问卷、自我感受负担量表(SPBS)、医学应对方式问卷(MCMQ)、医院综合焦虑抑郁量表(HADS)和一般自我效能感量表(GSES)对其进行调查,应用多元线性回归分析探讨老年冠心病患者自我感受负担及其影响因素。结果老年冠心病患者SPB总分为(28.83±7.88)分,处于轻度水平,回避应对方式、焦虑、抑郁、自我效能是老年冠心病患者SPB的影响因素(调整后R~2=0.452,P <0.05)。结论老年冠心病患者SPB处于轻度水平,应针对性地加以干预以降低患者的SPB水平,促进其心理健康。
Objective To investigate the status of self-perceived burden and the related influencing factors in elderly patients with coronary heart disease. Methods A total of 229 elderly patients with coronary heart disease from February to September 2018 treated in the First Affiliated Hospital of Anhui Medical University and the Second Affiliated Hospital of Anhui Medical University were collected via convenience sampling method and questionnaire investigated. The general survey questionnaire, self-perceived burden scale(SPBS), medical coping modes questionnaire(MCMQ), hospital anxiety and depression scale(HADS), and general self-efficacy scale(GSES) were adopted to investigate the participants. Multiple linear regression was used to explore the influencing factors of self-perceived burden in elderly patients with coronary heart disease. Results The total score of self-perceived burden was at a mild level of(28.83±7.88)scores. The influencing factors for self-perceived burden included avoidance coping style, anxiety, depression, and self-efficacy(adjusted R2=0.452, P < 0.05). Conclusion The self-perceived burden of elderly coronary heart disease patients is at a mild level, and targeted interventions should be taken to reduce the self-perceived burden and promote their mental health.
Objective To investigate the status of self-perceived burden and the related influencing factors in elderly patients with coronary heart disease. Methods A total of 229 elderly patients with coronary heart disease from February to September 2018 treated in the First Affiliated Hospital of Anhui Medical University and the Second Affiliated Hospital of Anhui Medical University were collected via convenience sampling method and questionnaire investigated. The general survey questionnaire, self-perceived burden scale(SPBS), medical coping modes questionnaire(MCMQ), hospital anxiety and depression scale(HADS), and general self-efficacy scale(GSES) were adopted to investigate the participants. Multiple linear regression was used to explore the influencing factors of self-perceived burden in elderly patients with coronary heart disease. Results The total score of self-perceived burden was at a mild level of(28.83±7.88)scores. The influencing factors for self-perceived burden included avoidance coping style, anxiety, depression, and self-efficacy(adjusted R2=0.452, P < 0.05). Conclusion The self-perceived burden of elderly coronary heart disease patients is at a mild level, and targeted interventions should be taken to reduce the self-perceived burden and promote their mental health.
引文
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[19]郭晓迪,胡细玲,骆斯慧,等.糖尿病住院患者应对方式与心理痛苦的相关性研究[J].中华护理教育,2018,15(2):125-128.
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[21]Kowal J,Wilson KG,Mcwilliams LA,et al.Self-perceived burden in chronic pain:relevance,prevalence,and predictors[J].Pain,2012,153(8):1735-1741.
[22]Ekici B,Ercan EA,Cehreli S,et al.The effect of emotional status and health-related quality of life on the severity of coronary artery disease[J].Kardiol Pol,2014,72(7):617-623.
[23]李艳玲,冯芳,张佳宁,等.老年慢性心力衰竭患者症状管理自我效能对自我感受负担的影响[J].职业与健康,2018,34(10):1335-1338.
[24]黄莉,王洪嫦,黄碧冰.心理弹性和自我效能对老年维持性血液透析患者自我感受负担的影响[J].护理实践与研究,2016,13(20):6-8.
[25]Sarkar U,Ali S,Whooley MA.Self-Efficacy as a Marker of Cardiac Function and Predictor of Heart Failure Hospitalization and Mortality in Patients With Stable Coronary Heart Disease:Findings From the Heart and Soul Study[J].Health Psychol,2009,28(2):166-173.
[26]童华卿.维持性血液透析患者家庭关怀度对心理状态、自我管理行为、自我感受负担的影响[J].中国医药导报,2018,15(4):177-180.
[2]Wilson KG,Curran D,McPherson CJ.A burden to others:a common source of distress for the terminally ill[J].Cogn Behav Ther,2005,34(2):115-123.
[3]McPherson CJ,Wilson KG,Murray MA.Feeling like a burden to others:a systematic review focusing on the end of life[J].Palliat Med,2007,21(2):115-128.
[4]Park AH,Lee SJ,Oh SJ.The effects of a smoking cessation programme on health-promoting lifestyles and smoking cessation in smokers who had undergone percutaneous coronary intervention[J].Int J Nurs Pract,2015,21(2):107-117.
[5]李妹芳,朱海萍,陈丽燕,等.老年冠脉支架植入患者自我感受负担调查及影响因素分析[J].南昌大学学报:医学版,2017,57(2):86-91.
[6]胡燕利,燕美琴.老年冠心病患者自我感受负担的调查分析[J].护理管理杂志,2013,13(12):862-864.
[7]江一清,刘朝中,朱国英.现代冠心病学[M].北京:人民军医出版社,2001:345-346.
[8]张惠,蒋红宇,陈媛媛,等.经皮冠状动脉介入治疗术后患者自我感受负担及其影响因素分析[J].中国护理管理,2017,17(3):392-396.
[9]李妹芳.中青年冠心病患者支架植入术后自我感受负担影响因素研究[D].南昌:南昌大学,2017.
[10]沈晓红,姜乾金.医学应对方式问卷中文版701例测试报告[J].中国行为医学科学,2000,9(1):18-20.
[11]姚丽,王新丽,李霞,等.急性心肌梗死患者介入治疗术后心理弹性及影响因素分析[J].护理学杂志,2016,31(23):14-17.
[12]王历.心血管疾病焦虑抑郁自评问卷以及急性冠脉综合征焦虑抑郁相关因素流行病学研究[D].重庆:重庆医科大学,2015.
[13]Zhang JX,Schwarzer R.Measuring optimistic self-beliefs:A Chinese adaptation of the General Self-efficacy Scale[J].Psychologia,1995,38(3):174-181.
[14]王才康,胡中锋,刘勇.一般自我效能感量表的信度和效度研究[J].应用心理学,2001,7(1):37-40.
[15]陈月秀,詹水兰,俞明珠.经皮冠脉介入治疗术后急性心肌梗死再发患者自我感受负担及其影响因素研究[J].江西医药,2017,52(11):1158-1161.
[16]Feifel H,Strack S,Nagy VT.Coping strategies and associated features of medically illpatients[J].Psychosom Med,1987,49(6):616-625.
[17]Guo T,Ding PJ,Sun XF,et al.Investigation and analysis of coping styles and influencing factors of elderly patients in community with chronic pain[J].Chin J Pract Nurs,2014,6(30):25-28.
[18]袁玉艳,杨富国,王淑云,等.应对方式在永久性肠造口患者伤残接受度与生活质量间的中介效应[J].护理学杂志,2016,31(14):26-29.
[19]郭晓迪,胡细玲,骆斯慧,等.糖尿病住院患者应对方式与心理痛苦的相关性研究[J].中华护理教育,2018,15(2):125-128.
[20]McPherson CJ,Wilson KG,Lobchuk MM,et al.Family caregivers′assessment of symptoms in patients with advanced cancer:concordance with patients and factors affecting accuracy[J].J Pain Symptom Manage,2008,35(1):70-82.
[21]Kowal J,Wilson KG,Mcwilliams LA,et al.Self-perceived burden in chronic pain:relevance,prevalence,and predictors[J].Pain,2012,153(8):1735-1741.
[22]Ekici B,Ercan EA,Cehreli S,et al.The effect of emotional status and health-related quality of life on the severity of coronary artery disease[J].Kardiol Pol,2014,72(7):617-623.
[23]李艳玲,冯芳,张佳宁,等.老年慢性心力衰竭患者症状管理自我效能对自我感受负担的影响[J].职业与健康,2018,34(10):1335-1338.
[24]黄莉,王洪嫦,黄碧冰.心理弹性和自我效能对老年维持性血液透析患者自我感受负担的影响[J].护理实践与研究,2016,13(20):6-8.
[25]Sarkar U,Ali S,Whooley MA.Self-Efficacy as a Marker of Cardiac Function and Predictor of Heart Failure Hospitalization and Mortality in Patients With Stable Coronary Heart Disease:Findings From the Heart and Soul Study[J].Health Psychol,2009,28(2):166-173.
[26]童华卿.维持性血液透析患者家庭关怀度对心理状态、自我管理行为、自我感受负担的影响[J].中国医药导报,2018,15(4):177-180.
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