Status And Influential Factors Of Health Self-management Of Hospitalized Patients With Coronary Heart Disease

Objectives To study the status quo of health self management of patients with CHD;analysis the influence factors of patients with CHD health self management.Methods Questioning the patients with coronary heart disease in North China University of Science and Technology Affiliated Hospital Cardiovascular Internal Medicine during October in 2014 to September in 2015. Including general demographic characteristics,CSMS and ADL, family APGAR questionnaire, SSRS, and other factors questionnaire. All data entry Excel table and import the SPSS17.0 statistical software for statistical analysis.Specific Means: descriptive analysis of measurement data for analysis of variance, count data use cases, percentage, single factor analysis of measurement data by independent samplet test and analysis of variance, in multiple factors analysis for multiple linear regression analysis.Results 1 Patients with CHD health self management status: patients with CHD health self-management total level score(55.52±11.12). 2 Affecting the health of the patients with coronary artery disease self-management of single factor analysi:(1) Health selfmanagement total level in gender, age, occupation, marital status,educational level, place of residence, BMI, family type, personal monthly income, health care, bear the cost of treatment, heart function grading, and health education situation, the first coronary heart disease relapse, fixed number of year of the sick, the number of nearly a year,hospitalization times, surgery, long-term medication, daily life ability, family functioning,children care, to communicate with their children, family members have urged for medical treatment, behavior of the family, is sick with no family to accompany, satisfaction of family care, social support, communicate with others, community help of the differences between statistically significant(P<0.01);(2)Daily life management dimension in gender,age, nationality, occupation, marital status, educational level, place of residence, BMI,family type, personal monthly income, health care, bear the cost of treatment, heart function grading, and health education situation, the first CHD relapse, fixed number of year of the sick, the number of nearly a year, hospitalization times, surgery, long-term medication, daily life ability, family functioning, child care, children regularly arrange physical examination, to communicate with their children, family members, have urged for medical treatment, behavior of the family, is sick with no family to accompany,satisfaction of family care, social support, communicate with others and community help of the differences between statistically significant(P<0.01);(3) Disease medical management dimension in gender, age, occupation, marital status, educational level, place of residence, BMI, family type, personal monthly income, health care, bear the cost of treatment, heart function grading, family history of coronary heart disease, and health education situation, the first coronary heart disease relapse, fixed number of year of the sick, the number of nearly a year, because of the number of coronary heart disease in hospital, surgery,long-term medication, daily life ability, family functioning, child care,children arrange physical examination, to communicate with their children, family members, have urged for medical treatment, family have corrosive unhealthy behavior to correct me, ill have no family to accompany, care for family’s satisfaction, social support,and communicate with others and community help of the differences were statistically significant(P<0.01);(4) Emotion management dimension in gender, age, nationality,occupation, marital status, education, place of residence, BMI, family type, personalmonthly income, health care, bear the cost of treatment, heart function grading, and health education situation, the first coronary heart disease relapse, fixed number of year of the sick, the number of nearly a year, because of the number of coronary heart disease in hospital, surgery, long-term medication, daily life ability, family functioning, child care,children arrange physical examination, to communicate with their children, family members, have urged for medical treatment, behavior of the family, ill have no family to accompany, care for family’s satisfaction, social support, and communicate with others and community help of the differences were statistically significant(P<0.01). 3 Affecting the health of patients with CHD in self-management multi-factor analysis:(1) The influence factors relating total score of Health self-management are:the number of fixed number of year of the sick, and daily life ability, community help, child care, BMI, health education,grade of cardiac function, family to correct unhealthy behavior, personal income,communicate with others, family urged hospital, social support;(2) The influence factors relating to manage daily life dimension are: community help, fixed number of year of the sick, BMI, gender, heart function grading, personal income, child care, daily life ability,occupation, residence, social support, family company, whether long-term medication,marriage, nationality;(3) The influence factors relating disease in medical management dimension are: the number of hospitalized for CHD, daily life ability, child care,community help, the number of CHD relapse, and whether long-term medication, health education, gender, type of health care, family to correct unhealthy behavior;(4) The influence factors relating disease in emotion management are: daily life ability, can bear the cost of treatment, hospitalization times, fixed number of year of the sick, family functioning, children arrange physical examination, social support, family type,communicate with their children, BMI, whether long-term medication, urging medical care,health education, occupation,family to correct unhealthy behavior, nationality.Conclusions 1Patients with CHD health self-management total level score is(55.52±11.12),which in the middle rdi level, so the health self management present situation is not optimistic. 2 According to the multiple factors analysis results,the main influencing factors with CHD health self-management total score is the number of nearly a year, daily life ability, community help, children care, BMI, health education, grade of cardiac function,family to correct unhealthy behavior, fixed number of year of the sick, personal monthly income, health education situation, communicate with others, family member have urged for medical treatment, social support. The main influencing factors with CHD health selfmanagement three dimensions are gender, the degree of child care, can bear the cost of treatment, and so on.