Schweitzer Robert D, Head Kathryn, Dwyer Jonathan W
School of Psychology and Counselling, Queensland University of Technology, Brisbane, QLD 4034, Australia.
J Cardiovasc Nurs. 2007 Jan-Feb;22(1):76-83. doi: 10.1097/00005082-200701000-00012.
Chronic heart failure adversely affects 300,000 Australians. Symptom stabilization and prognosis are partially determined by patients following medical and lifestyle recommendations.
To test the hypothesis that depression, anxiety, and self-efficacy are independent predictors of such adherence, 115 predominantly male (70.6%) volunteers with a mean age of 63 years were recruited from a major teaching hospital in Australia.
Depression (Beck Depression Inventory score >10, 33.3%) failed to predict adherence. Trait anxiety (State-Trait Anxiety Inventory score >40, 31%) explained minimal variability regarding smoking and alcohol adherence. Self-efficacy strongly predicted adherence behavior.
Findings will assist cardiac nurses to prepare strategies to optimize adherence and quality of life while minimizing public health costs.
慢性心力衰竭对30万澳大利亚人产生不利影响。症状的稳定和预后部分取决于患者是否遵循医学和生活方式建议。
为了检验抑郁、焦虑和自我效能感是此类依从性的独立预测因素这一假设，从澳大利亚一家大型教学医院招募了115名志愿者，他们主要为男性（70.6%），平均年龄63岁。
抑郁（贝克抑郁量表得分>10，占33.3%）未能预测依从性。特质焦虑（状态-特质焦虑量表得分>40，占31%）对吸烟和饮酒依从性的变异解释极小。自我效能感强烈预测依从行为。
研究结果将帮助心脏科护士制定策略，以优化依从性和生活质量，同时将公共卫生成本降至最低。
