天津护理 ›› 2022, Vol. 30 ›› Issue (3): 301-306.DOI: 10.3969/j.issn.1006-9143.2022.03.011

• 论著 • 上一篇    下一篇

冠心病患者体力活动自我管理行为现状及影响因素分析

张思爱1 徐银环1 法天锷2   

  1. (1.天津中医药大学,天津 301617; 2.天津市胸科医院)
  • 出版日期:2022-06-28 发布日期:2022-06-29

Study on the status and influencing factors of self-management behavior related to physical activity in patients with coronary heart disease

ZHANG Siai1, XU Yinhuan1, FA Tian’e2   

  1. (1.Tianjin University of Traditional Chinese Medicine, Tianjin 301617; 2.Tianjin Chest Hospital)
  • Online:2022-06-28 Published:2022-06-29

摘要: 目的:了解冠心病患者体力活动自我管理行为现状并分析其影响因素,为提高冠心病患者体力活动自我管理能力提供参考依据。方法:采用便利抽样法,于2021年1月至4月对279例冠心病患者采用一般资料调查表、中文版冠心病患者体力活动自我管理行为量表进行问卷调查。结果:冠心病患者体力活动自我管理行为总分为(72.07±27.35)分。多元线性回归分析结果显示,职业状态、体育锻炼次数、体育锻炼方式、心功能分级、是否接受过心脏运动康复训练是冠心病患者体力活动自我管理行为的影响因素(P<0.05)。结论:冠心病患者体力活动自我管理行为处于中等偏下水平,有待进一步提高。护理人员应重视冠心病患者的体力活动自我管理行为,根据个性化差异,有针对性的为其开展相关健康教育,使患者安全有效的进行体育锻炼,从而提高冠心病患者体育活动自我管理水平。

关键词: 冠心病, 体力活动, 自我管理行为, 影响因素

Abstract: Objective: To investigate the current status of physical activity related self-management behaviors in patients with coronary heart disease and analyze its influencing factors, so as to provide reference for improving the physical activity self-management ability in patients with coronary heart disease. Methods: A total of 279 patients with coronary heart disease were included from January to April 2021 by convenience sampling. The general information questionnaire and Chinese version of self-management behavior scale related to physical activity were used in the investigation. Results: The total score of physical activity related self-management behavior in CHD patients was 72.07±27.35. Multiple linear regression analysis showed that occupational status, number of physical activities, physical activities style, cardiac function classification, and whether the patients receiving cardiac rehabilitation training were the influencing factors of physical activity related self-management behavior in patients with coronary heart disease(P<0.05). Conclusion: The physical activity related self-management behavior in patients with coronary heart disease was at the middle to lower level needing further improvment. Nursing staffs should pay attention to the physical activity related self-management behavior in patients with coronary heart disease, and carry out relevant health education according to personalized differences, so that the patients can carry out physical exercise effectively, and thus improve the level of physical activity related self-management behavior in patients with coronary heart disease.

Key words: Coronary heart disease, Physical activity, Self-management behavior, Influencing factors