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目的了解冠心病老年患者自我管理现状及躯体与心理健康对其的影响。方法于2015年3月—2016年2月采用自行设计一般人口学调查表及成年人健康自我管理行为问卷(AHSMSRS)、症状自评量表(SCL-90)、生活能力量表(ADL)、健康状况量表(SF-36)对唐山工人医院住院治疗的冠心病老年人(≥60岁)1 408例进行问卷评测。结果冠心病老年患者健康自我管理总均分为(3.83±0.59)分。多因素分析显示:心理症状(β=-0.145)、健康状况良好(β=0.073)、无住院经历(β=-0.091)、无医保(β=-0.077)、文化程度(β=0.123~0.167)、日常生活能力重度障碍(β=-0.119)是冠心病老年人健康自我管理水平的影响因素(均P<0.05)。结论冠心病老年人自我管理行为有待提升,应提高身心健康,促进其自我管理水平的提高。
Objective To understand the current situation of self-management of elderly patients with coronary heart disease and its impact on physical and mental health. Methods From March 2015 to February 2016, AHSMSRS, SCL-90, ADL, self-management questionnaire, The Health Status Scale (SF-36) conducted a questionnaire survey on 1 408 CHD elderly (≥60 years) hospitalized in Tangshan Workers Hospital. Results The total self-management score of elderly patients with coronary heart disease was 3.83 ± 0.59. Multivariate analysis showed that psychological symptoms (β = -0.145), good health (β = 0.073), no hospitalization (β = -0.091), no medical insurance (β = -0.077) ), And severe dysfunction of daily living (β = -0.119) were the influencing factors of health self-management in elderly patients with coronary heart disease (all P <0.05). Conclusion The self-management behavior of elderly patients with coronary heart disease need to be improved, physical and mental health should be improved, and the self-management level should be improved.