| Objective:To explore the relationships among health-promoting behaviors, health locus of control and self-efficacy, and further analysis the influencing factors of health promoting behaviors by describing the characteristics of health-promoting behaviors, health locus of control and self-efficacy in patients with chronic heart failure(CHF). Methods:200 eligible patients with CHF were recruited from the Department of Cardiology of Yantai Yuhuangding Hospital during May 2013 to April 2014. And patients were investigated with the General Healthy Questionnaire, Multidimentional Health Locus of Control Scale(MHLC), Health-Promoting Lifestyle Profile II(HPLP II) and Self-efficacy for Managingchmnic Disease 6 item scale(SECD6). SPSS 16 software package was used for t test, variance analysis, regression analysis, Pearson correlation analysis and multiple stepwise regression analysis. Results:1.The total score of health-promoting behaviors was 127.28±16.61, nutrition, interpersonal relationships, stress coping, self realization, exercise, health responsibility was sorted descending according to the entry average score. The stress coping scores of health promoting behaviors were statistically significant in differences gender(P<0.05) of CHF patients; The scores of exercise, nutrition, health responsibility, self realization, stress coping of patients with different education levels were statistically significant(P<0.05); The total score of health-promoting behaviors and the entry scores of behavior, health responsibility, interpersonal relationships and stress coping were statistically significant in different family income(P <0.05); The scores of exercise, nutrition, health responsibility and self realization were statistically significant in patients with different classification of cardiac function(P < 0.05).2.The scores of internal control and opportunity of health locus of control in CHF patients were lower than in norm(23.10 ± 4.24 vs 26±5; 13.88 ±3.29 vs 15 ± 6, P < 0.01);while the score of powerful others were higher than in norm(23.42 ± 3.18 vs 20 ±5.50, P < 0.01). The scores of internal control of health locus of control in CHF patients were positively corrected with the total score of health behavior and scores of self realization, exercise, nutrition, and interpersonal relationship(r= 0.296, 0.221, 0.250, 0.238, 0.344, respectively, P<0.01); The scores of powerful others were positively corrected with the scores of the total score of health behavior and scores of self realization, health responsibility, nutrition, interpersonal relationship, stress coping(r= 0.471, 0.450, 0.250, 0.289, 0.296, 0.360, respectively, P<0.01); And the scores of opportunity was negatively correlated with total score of health and the scores of health responsibility,nutrition, interpersonal relationship(r =-0.182,-0.302,-0.300,-0.226, respectively, P <0.01); The regression analysis showed that internal control,powerful others and opportunity could explain 26% of the variance of health-promoting behaviors(F= 22.98, P < 0.01).3.The self-efficacy score of CHF patients was(6.86 ± 1.42),and were positively corrected with the health promoting behaviors, exercise, interpersonal relationships, stress coping, self realization(R =0.405, 0.235, 0.268, 0.272, 0.625, P<0.01).4.The multiple stepwise regression analysis showed that two variables of health locus of control,powerful others and opportunity,and self-efficacy,per capita monthly income of family were prediction variables of the total score of health behavior(R2=0.402); The opportunities, culture degree and powerful others were prediction variables of health responsibility(R2=0.138); The family income, Internal control, classification of cardiac function, opportunity and self efficacy were prediction variables of exercise(R2=0.286); The opportunity, powerful others and culture degree were prediction variables of nutrition(R2=0.204); The self-efficacy,powerful others and opportunity were prediction variables of self realization(R2=0.553);The cultural degree, internal control, powerful others and opportunity were prediction variables of self realization(R2=0.335); The powerful others, cultural degree, self efficacy, classification of cardiac function, cultural degree, family monthly income and Internal control were prediction variables of(R2=0.257). Conclusion1.The health promoting behaviors of CHF patients was in the general level, there were differences in the scores of different cultural degree, family income, classification of heart function and different gender of the patients with CHF, health education of these patients should be enhanced in order to improve the level of health-promoting behaviors.2.The health locus of control of CHF patients tend to powerful others, which suggesting that medical staff play a leading role in improving the health-promoting behavior of CHF patients,and is beneficial to improve the nutrition, health responsibility, interpersonal relationships, stress coping,self realization and the overall level of health-promoting behavior of CHF patients; Internal control of health locus of control is helpful to the improve exercise, nutrition, interpersonal relationship, self realization and the overall level of health locus of control of CHF patients; While the opportunity is detrimental for health responsibility, nutrition,interpersonal relationships, stress oping and health-promoting behaviors and the overall level of health locus of control of CHF patients.3.Advancing of self-efficacy of CHF patients could help to improve exercise, interpersonal relationships, stress coping, self realization and the overall level of health-promoting behaviors.4.The internal control, powerful others and opportunity of health locus of control, together with self-efficacy, family income, cultural level, classification of heart function and so on have different predict effection to health responsibility, exercise, nutrition, interpersonal relationships, stress coping, self realization and the overall level of healthpromoting behaviors. |
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