慢性心力衰竭患者健康心理控制源与自我管理的相关性研究(1)
摘要：目的 讨论慢性心力衰竭(CHF)患者健康心理控制源与自我管理的相关性，为改善其自我管理水平，提供新思路。方法 随机抽样法选取湖南省两所三级甲等医院的128例CHF患者作为研究对象，采用一般资料调查表、多维度健康心理控制源量表(MHLC)、心力衰竭自我管理量表进行研究。结果 MHLC三个维度得分分别为(23.41±3.05)分、(24.16±2.58)分、(21.52±4.25)分;自我管理总分为(50.16±8.25)分，得分率为64.46%。内控性和有势力他人得分与心力衰竭自我管理量表得分均呈正相关(P<0.01);机遇得分与心力衰竭自我管理量表得分呈負相关(P<0.01)。结论 CHF患者的健康心理控制源在一定程度上对其自我管理有重要影响，可以在为护理人员给患者提供具有针对性的护理措施上，提供一定的理论指导。
关键词：慢性心力衰竭;健康心理控制源;自我管理
中图分类号：R473.5 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.05.042
, 百拇医药
文章编号：1006-1959(2019)05-0133-03
Abstract：Objective To discuss the correlation between health psychological control sources and self-management in patients with chronic heart failure (CHF)， and to provide new ideas for improving their self-management level. Methods A total of 128 CHF patients in two tertiary hospitals in Hunan Province were selected by random sampling. The general data questionnaire， multi-dimensional health psychological control source scale (MHLC) and heart failure self-management scale were used. Results The scores of MHLC in three dimensions were (23.41±3.05)， (24.16±2.58)， and (21.52±4.25)， and the self-administration score was (50.16±8.25). The score was 64.46%. The scores of internal control and powerful others were positively correlated with the scores of self-management scale of heart failure (P<0.01); the scores of opportunity were negatively correlated with the scores of self-management scale of heart failure (P<0.01). Conclusion The source of health psychological control in patients with CHF has an important influence on self-management to a certain extent. It can provide some theoretical guidance for providing nursing staff with targeted nursing measures.
, 百拇医药
Key words：Chronic heart failure;Source of health psychological control;Self-management
慢性心力衰竭(chronic heart failure，CHF)是众多心血管疾病的终末阶段，发病率和死亡率高[1]。据流行病学数据显示[2，3]，全球心衰患者总数已超过3700万，其中我国患者总数高达45万，并持续增长。以往研究表明[4，5]，提高慢性心力衰竭患者的自我管理行为可以有效降低其再住院率和病死率。因此，有关自我管理在慢性心力衰竭方面的研究越来越多。CHF患者的自我管理强调：患者本人在疾病管理中的中心作用，通过调控自身行为来降低死亡率[6]。健康心理控制源[7]是从心理控制的内控、有势力他人的影响和机遇三个方面评估人们对健康的态度，进而预测人们的心理调节和行为管理。目前患者的心理控制源与自我管理在一些疾病的研究已经得到了验证[8，9]，但尚缺乏对CHF患者的研究。本研究旨在研究CHF患者的心理控制源与自我管理行为的相关性，以期护理人员对慢性心力衰竭患者制定更具患者个人特色的护理措施，提升患者的自我管理能力。
1对象与方法, http://www.100md.com(李月 胡雅 曹春乐 刘丽华)
关键词：慢性心力衰竭;健康心理控制源;自我管理
中图分类号：R473.5 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.05.042
, 百拇医药
文章编号：1006-1959(2019)05-0133-03
Abstract：Objective To discuss the correlation between health psychological control sources and self-management in patients with chronic heart failure (CHF)， and to provide new ideas for improving their self-management level. Methods A total of 128 CHF patients in two tertiary hospitals in Hunan Province were selected by random sampling. The general data questionnaire， multi-dimensional health psychological control source scale (MHLC) and heart failure self-management scale were used. Results The scores of MHLC in three dimensions were (23.41±3.05)， (24.16±2.58)， and (21.52±4.25)， and the self-administration score was (50.16±8.25). The score was 64.46%. The scores of internal control and powerful others were positively correlated with the scores of self-management scale of heart failure (P<0.01); the scores of opportunity were negatively correlated with the scores of self-management scale of heart failure (P<0.01). Conclusion The source of health psychological control in patients with CHF has an important influence on self-management to a certain extent. It can provide some theoretical guidance for providing nursing staff with targeted nursing measures.
, 百拇医药
Key words：Chronic heart failure;Source of health psychological control;Self-management
慢性心力衰竭(chronic heart failure，CHF)是众多心血管疾病的终末阶段，发病率和死亡率高[1]。据流行病学数据显示[2，3]，全球心衰患者总数已超过3700万，其中我国患者总数高达45万，并持续增长。以往研究表明[4，5]，提高慢性心力衰竭患者的自我管理行为可以有效降低其再住院率和病死率。因此，有关自我管理在慢性心力衰竭方面的研究越来越多。CHF患者的自我管理强调：患者本人在疾病管理中的中心作用，通过调控自身行为来降低死亡率[6]。健康心理控制源[7]是从心理控制的内控、有势力他人的影响和机遇三个方面评估人们对健康的态度，进而预测人们的心理调节和行为管理。目前患者的心理控制源与自我管理在一些疾病的研究已经得到了验证[8，9]，但尚缺乏对CHF患者的研究。本研究旨在研究CHF患者的心理控制源与自我管理行为的相关性，以期护理人员对慢性心力衰竭患者制定更具患者个人特色的护理措施，提升患者的自我管理能力。
1对象与方法, http://www.100md.com(李月 胡雅 曹春乐 刘丽华)