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冠心病患者的功能状态、焦虑、心脏自我效能感及健康信念

Functional status, anxiety, cardiac self-efficacy, and health beliefs of patients with coronary heart disease.

作者信息

Allahverdipour Hamid, Asgharijafarabadi Mohammad, Heshmati Rasoul, Hashemiparast Mina

机构信息

Clinical Psychiatry Research Center, Tabriz University of Medical Sciences, Tabriz, 14711, Iran.

Road Traffic Injury Research Centre, Tabriz University of Medical Sciences, Tabriz, 14711, Iran.

出版信息

Health Promot Perspect. 2013 Dec 31;3(2):217-29. doi: 10.5681/hpp.2013.025. eCollection 2013.

Abstract

BACKGROUND

Beliefs and emotions could effect on functional status, quality of life, and mortality amongst patients who are suffering coronary heart disease (CHD). Current study examined the role of anxiety: trait/ state, self-efficacy, health beliefs, and functional status among patient with history of CHD.

METHOD

In this correlational study, 105 hospitalized and outpatients patients suffering CHD in Tehran Heart Center Hospital participated by using convenience sampling method in 2012. Cardiac self-efficacy, Seattle Angina, and research-designed health beliefs questionnaires were used to gather data.

RESULTS

The functional status in CHD patients showed significant relationships with gender, job, and type of medical insurance of the participants (All ps<0.05). In addition , perceived vulnerability to face again cardiac attack in the future, per-ceived severity of next cardiac attack, anxiety, state anxiety and trait anxiety (All ps<0.05) had significant and negative relationships with functional status. Con-versely, the cardiac self-efficacy had a positive and significant relationship (P<0.001) with functional status.

CONCLUSION

Psychological factors have important role in functional status and quality of life of patients who suffering CHD. Therefore, it is necessary to emphasize on supportive and complementary programs to promote Cardiac Reha-bilita-tion Programs.

摘要

背景

信念和情绪会影响冠心病(CHD)患者的功能状态、生活质量和死亡率。当前研究探讨了焦虑(特质/状态)、自我效能感、健康信念以及功能状态在有冠心病病史患者中的作用。

方法

在这项相关性研究中,2012年采用便利抽样法,选取了德黑兰心脏中心医院105名住院和门诊冠心病患者参与研究。使用心脏自我效能感、西雅图心绞痛以及研究设计的健康信念问卷来收集数据。

结果

冠心病患者的功能状态与参与者的性别、工作和医疗保险类型存在显著关系(所有p<0.05)。此外,未来再次发生心脏病发作的易感性、下一次心脏病发作的感知严重程度、焦虑、状态焦虑和特质焦虑(所有p<0.05)与功能状态存在显著负相关。相反,心脏自我效能感与功能状态呈显著正相关(P<0.001)。

结论

心理因素在冠心病患者的功能状态和生活质量中具有重要作用。因此,有必要强调支持性和补充性项目,以促进心脏康复项目。

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