Relationships Between Health-promoting Behaviors And Illness Perception Or Perceived Control In Patients Undergoing Coronary Artery Stent Implantation

Objective:The aim of the study was to explore and describe coronary stent implantation patients,health-promoting behaviors after discharge,and to describe the illness perception and perceived control when they discharge,analyze the relationships between initial illness perception or perceived control and later health-promoting behaviors.The study would be help to recognize and correct patients,illness perception and perceived control,and then improve their health-promoting behaviors.Methods:A prospective longitudinal design was used in this study.136 coronary stent implantation patients were recruited in a There Level Hospital between February and July 2017.We investigated the participations by questionnaires via telephone,face to face or WeChat.The three time points were:1 days before discharge?T₀?,3 months after discharge?T₁?,6 months after discharge?T₂?.We used general data questionnaire to investigate patients,general information.Using Health-promoting Lifestyle Profile??HPLP??,the revised Illness Perception Questionnaire?IPQ-R?and Control Attitudes Scale-Revised?CAS-R?to investigate the patients,behaviors,illness perception and perceived control separately.IBM SPSS Statistics20.0 was adopted to establish database and analysis.Using Repeated measurement analysis T-test,ANOVA,Mann-Whitney U test,Pearson correlation analysis,Spearman correction analysis,Multiple linear regression analysis.Results:1.165 patients were recruited in the study.At T₁,there are 143 left.At T₂,there are 136 left.2.The average score of health-promoting behavior at T₀ is 2.41±0.33.The subscales rank as self-actualization,interpersonal support,nutrition,stress management,health responsibility and exercise.The average score of health-promoting behavior at T₁ is 2.46±0.26.The subscales rank as self-actualization,stress management,interpersonal support,nutrition,exercise and health responsibility.The average score of health-promoting behavior at T₂ is 2.50±0.28.The subscales rank as stress management,self-actualization,interpersonal support,nutrition,exercise and health responsibility.The scores of health-promoting behavior at T₀,T₁,T₂ are uptrend?P<0.05?.3.Among the dimensions of the illness perception,consequences,illness coherence and timeline cyclical are greater than 3.Personal control and treatment control are less than 3.The cause dimension of the illness perception ranks as immune factors,behavior factors,psychological factors,physical factors,environmental factors,chance factors.4.The score of perceived control is 28.99±3.75,range from 17 to 36.5.At T_1,there is a negative correlation between health-promoting behavior and illness coherence,timeline cyclical,there is a positive correlation between health-promoting behavior and perceived control.Income,illness coherence and timeline cyclical are the influential variables of health-promoting behavior.At T_2,there is a negative correlation between health-promoting behavior and timeline cyclical and immune factors.Income and timeline cyclical are the influential variables of health-promoting behavior..Conclusions:1.During the three investigations,Patients'health-promoting behavior are in medium level.The scores of health responsibility and exercise are the lowest.Overall,the health-promoting behavior at T₀,T₁,T₂ are uptrend.Health responsibility is downtrend.Stress management,exercise and interpersonal support are uptrend,P<0.05.2.At T₁,there is a negative correlation between health-promoting behavior and illness coherence,timeline cyclical,there is a positive correlation between health-promoting behavior and perceived control.The influential variables of health-promoting behavior are income,illness coherence and timeline cyclical.At T₂,there is a negative correlation between health-promoting behavior and timeline cyclical and immune factors.The influential variables of health-promoting behavior were income,and timeline cyclical.So that,we should pay attention to the worst behaviors and take measures to improve the patients' behaviors.