冠状动脉心脏病患者的自我护理行为及其决定因素
Roberta Di Matteo1,2, Tatiana Bolgeo2, Alberto Dal Molin3,4
1Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
意大利成年人患有冠心病 (CHD) 的自我护理通常很差,特别是在维护和监测方面. 老年,更多的并发症和护理人员的存在与更糟糕的自我护理结果有关.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 冠心病 (CHD) 需要显著的患者自我护理管理.
- 了解自我护理行为及其决定因素对于改善患者的治疗结果至关重要.
研究的目的:
- 评估被诊断患有心脏病的意大利成年人的自我护理水平.
- 确定影响该人口自我护理的社会人口统计学和临床因素.
主要方法:
- 来自意大利多中心纵向研究的数据的横截面分析.
- 使用了冠状动脉疾病自护库存,自护自效量表,查尔森并发症指数和社会人口统计问卷.
- 使用描述性统计和结构方程建模来分析关联.
主要成果:
- 分析了427名患者;自我护理维护,监测和管理的得分低于70的充足度值.
- 自我护理的自我有效性得分是充足的 (77.16).
- 年龄较大,并发症负担较高,支架安置量增加以及护理人员的存在与自我护理较差有关.
结论:
- 意大利心脏病患者的自我护理行为低于最佳水平.
- 自理维度与社会人口统计学/临床因素之间存在显著的关联.
- 调查结果为医疗保健提供者提供信息,帮助他们制定有针对性的干预措施,以加强患者的自我护理.
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