Correlation Between Perceived Control,Disease Information Needs And Self-management Behavior In Elderly Patients With Coronary Heart Disease And Cardiac Rehabilitation

Objective: to investigate the status of cognitive control,disease information demand and self-management behavior in elderly patients with coronary heart disease(chd)after cardiac rehabilitation,to provide the theoretical basis for clinical staff to construct the intervention model of cardiac rehabilitation self-management level in elderly patients with coronary heart disease and carry out individualized health education.Methods: This study was a non-experimental correlation study,using convenience sampling method,288 elderly cardiac rehabilitation patients were selected from a Sanjia hospital in Weihai from December 2019 to May 2020,the control attitude scale,cardiac rehabilitation questionnaire,coronary heart disease self-management behavior scale and general data questionnaire were used to evaluate quantitatively.SPSS26.0was used to analyze the status quo of the subjects’ perceived control,disease information needs,self-management behavior and general demographic characteristics,t test or variance analysis and Pearson correlation analysis were used to compare the differences and correlations among the three subjects.Results:(1)Basic demographic data: male patients accounted for 55.9% of 288 elderly patients with coronary heart disease;Most of them were 60～70 years old,accounting for 58.7%.90.6% lived in cities;Most of them are middle school level,accounting for57.3%;76.7% retired patients;The proportion of medical insurance for employees was83.6%;Smoking accounted for 14.3%;35% of the patients drank alcohol;Low salt diet accounted for 35%;82.9% of the patients used drugs regularly;64.2% of the patients took part in aerobic exercise occasionally.(2)In this study,the total score of perceptual control in middle-aged and elderly patients with coronary heart disease and cardiac rehabilitation was(28.95 1 ± 86),in the medium level.There were significant differences in residence,occupation,medical insurance,PCI operation,low salt diet,cardiac function and the stage of cardiac rehabilitation(P < 0.05).(3)In this study,the total score of disease information needs of middle-aged and elderly patients with coronary heart disease and cardiac rehabilitation was(46.88 1 ±61),at a high level;There were significant differences in gender,residence,medical insurance,average monthly family income,education level,sports and cardiac rehabilitation stage(P < 0.05).(4)In this study,the total score of self-management behavior of middle-aged and elderly patients with coronary heart disease and cardiac rehabilitation was(97.00 0 ±37),at a low level.There were significant differences in gender,place of residence,education level,low salt diet,exercise,cardiac function classification and cardiac rehabilitation stage(P < 0.05).(5)The results of correlation analysis showed that there was a significant positive correlation between perceived control and disease information demand level(r = 0.665,P < 0.01);there was a significant positive correlation between perceived control and self-management level(r = 0.714,P < 0.01);there was a significant positive correlation between disease information demand level and self-management behavior(r = 0.410,P< 0.01).(6)The results of multiple regression analysis showed that perceived control,disease information demand,education level,sports,cardiac function classification and other factors affected the score of self-management behavior,which could jointly explain 65.7% of the variation of the score of self-management behavior of the dependent variable.Conclusions:(1)Senile coronary heart disease patients with cardiac rehabilitation in the perceptual control of the above medium level.Urban residents,retirees,workers’ health insurance,low-salt diet,no PCI surgery,better heart function,and cardiac rehabilitation activities had higher overall scores on perceptual control.(2)Elderly patients with cardiac rehabilitation of coronary heart disease have a high level of disease information needs,and women,urban residents,workers and workers with medical insurance,high education level,high per capita monthly income,aerobic exercise,and active cardiac rehabilitation patients have a high level of disease information needs.(3)The self-management behavior level of elderly patients with cardiac rehabilitation of coronary heart disease is at a low level.Women,urban residents,high education level,low salt diet,physical activity,better heart function,current active stage and maintenance stage patients had higher self-management scores.(4)The perceptual control,disease information need and self-management behavior of elderly patients with coronary heart disease were significantly positively correlated.(5)The important factors affecting the level of self-management behavior of elderly patients with cardiac rehabilitation of coronary heart disease include: total score of perceptual control,education background(junior college or above),exercise status(occasional exercise),cardiac function grade(Ⅱ level of cardiac function),and total score of disease information need.