上海市386例心血管病患者积极度现状及其影响因素研究

doi:10.12183/j.scjpm.2022.0822

摘要/Abstract

摘要： 目的分析上海浦东新区心血管病患者积极度现状及其影响因素。方法以上海市某医院2021年2—10月诊治的心血管疾病患者（本研究范围为高血压、高血脂、冠心病、心律失常及外周血管病）为研究对象进行积极度相关问卷调查。利用描述流行病学方法分析心血管病患者积极度现状。使用单因素、多因素分析方法对心血管病患者积极度的影响因素进行分析。结果 386例患者完成调查,男性235例,女性151例,平均年龄（67.12±8.14）岁。心血管疾病患者积极度评分平均为（66.04±10.47）分。在量表的条目中,以我可以为管理自身的健康负责的得分最高,达到（3.27±0.55）分。积极度水平为第4级的构成比最高,201例,占52.07%。多重线性回归分析结果显示男性（β’=0.137）、主动获取相关知识（β’=0.201）、自我效能水平高（β’=0.328）、心血管疾病等级低（β’=0.241）的心血管疾病患者具有更高的积极度。结论上海市浦东新区心血管疾病患者的积极度相对较高,自我效能水平、性别、是否主动获取疾病的相关知识、合并症情况均对该地区心血管疾病患者积极度产生影响。今后需要继续加强工作,提升该人群的积极度水平。

关键词: 心血管病, 积极度, 慢性疾病, 危险因素, 自我管理

Abstract: Objective To analyze the status and influencing factors of enthusiasm in patients with cardiovascular disease in the Pudong New Area of Shanghai. Methods Patients with cardiovascular disease （the scope of this study included hypertension, hyperlipidemia, coronary heart disease, arrhythmia, and peripheral vascular disease） diagnosed and treated in a hospital in Shanghai from February to October 2021 were selected as the research subjects to conduct a questionnaire survey on enthusiasm. The descriptive epidemiological method was used to analyze the current status of enthusiasm in patients with cardiovascular disease, and univariate and multivariate analysis methods were used to analyze the influencing factors. Results A total of 386 patients completed the survey, including 235 males and 151 females, with an average age of （67.12±8.14） years. The average score of enthusiasm in patients with cardiovascular disease was （66.04±10.47）. Of the items on the scale, the score of “I can be responsible for managing my own health” was the highest, reaching （3.27±0.55）. The composition ratio of level 4 enthusiasm was the highest, with 201 cases, accounting for 52.07%. The results of multiple linear regression analysis showed that the patients with cardiovascular disease who was male （β’=0.137）, with the active acquisition of relevant knowledge （β’=0.201）, high level of self-efficacy （β’=0.328）, and low degree of cardiovascular disease （β’=0.241） had higher enthusiasm. Conclusion The enthusiasm of patients with cardiovascular disease in the Pudong New Area of Shanghai is relatively high. The level of self-efficacy, gender, whether to actively acquire disease-related knowledge, and comorbidities have an impact on the enthusiasm of patients with cardiovascular disease in this region. In the future, it is necessary to continue to strengthen the work to improve the level of enthusiasm of this group.

Key words: Cardiovascular disease, Enthusiasm, Chronic disease, Risk factor, Self-management

中图分类号:

R541.6

刘俭, 胡晓颖. 上海市386例心血管病患者积极度现状及其影响因素研究[J]. 华南预防医学, 2022, 48(7): 822-825.

LIU Jian, HU Xiao-ying. Status and influencing factors of enthusiasm among 386 patients with cardiovascular disease in Shanghai[J]. South China Journal of Preventive Medicine, 2022, 48(7): 822-825.

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