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目的探讨冠状动脉内支架植入术后患者社会资源对自我管理行为的影响,为护理人员预测该类患者的自我管理行为和制定行为干预措施提供实证依据。方法纳入2013年7月-12月复查随访的冠状动脉内支架植入术后患者,采用一般资料调查表、慢性病资源量表(CIRS)、冠状动脉粥样硬化性心脏病自我管理量表(CSMS)进行问卷调查。结果共纳入359例患者。CIRS总量表均分为(2.77±0.60)分,各维度得分从高到低依次为:邻里社区支持、媒体政策支持、家人朋友支持、自我调节、医护人员支持、社团组织支持;由于工作环境支持的应答率较低,所以未纳入描述和分析。CSMS总分为(55.58±10.59)分,各维度得分从高到低依次为:日常生活管理、情绪管理、疾病医学管理。CIRS总分及各维度与CSMS总分及各维度基本呈正相关(r=0.183~0.663,P<0.05),但医护人员支持、家人朋友支持与日常生活管理呈负相关(r=-0.215,-0.294;P<0.05)。结论患者获得的社会资源总体水平偏低;自我管理处于中等水平,其中疾病医学管理水平最差;良好的社会资源有利于促进患者的自我管理,而来自医护人员和家人朋友的支持则有碍于患者的日常生活管理。
Objective To explore the impact of social resources on self-management behavior of patients after coronary stenting, and provide empirical evidence for nursing staff to predict their self-management behavior and make behavioral interventions. Methods The patients undergoing coronary stenting underwent follow-up from July to December in 2013. The general data questionnaire, the chronic disease resource scale (CIRS), the coronary atherosclerotic heart disease self-management scale (CSMS )Questionnaire. Results A total of 359 patients were enrolled. The total scale of CIRS was divided into (2.77 ± 0.60) points, with the scores of descending order of each dimension as follows: neighborhood community support, media policy support, family and friends support, self-regulation, medical staff support and community organization support; The response rates supported are low and are therefore not included in the description and analysis. The total score of CSMS was (55.58 ± 10.59) points. The scores of all dimensions ranked from high to low as follows: daily life management, emotional management and disease medical management. CIRS score and each dimension had a positive correlation with CSMS score and each dimension (r = 0.183-0.663, P <0.05), but there was a negative correlation between the total score and each dimension of CSC and daily life management (r = -0.215, - 0.294; P <0.05). Conclusion The overall level of social resources obtained by the patients is low; the self-management is at a medium level, of which the medical management of the disease is the worst; the good social resources are conducive to promoting the self-management of the patients, while the support from the medical staff and family members and friends hinders Patient’s daily life management.