台湾冠心病患者健康促进行为的预测因素。
Predictors of health-promoting behaviors in Taiwanese patients with coronary artery disease.
作者信息
Chiou Ai-Fu, Hsu Shu-Pen, Hung Huei-Fong
机构信息
School of Nursing, National Yang-Ming University, Taipei, Taiwan.
Medical Intensive Care Unit, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
出版信息
Appl Nurs Res. 2016 May;30:1-6. doi: 10.1016/j.apnr.2015.08.008. Epub 2015 Aug 20.
AIM
This study aims to describe health-promoting behaviors and their predictors in patients with coronary artery disease.
BACKGROUND
Health-promoting behaviors may improve quality of life and reduce cardiac mortality yet more than 80% of heart patients fail to maintain their health-promoting behaviors.
METHODS
This cross-sectional study recruited 200 patients with coronary artery disease from a medical center in Taiwan. Instruments were used to measure health-promoting behaviors, cognitions and affect, social support, and quality of life. Hierarchical multiple regression analysis was performed to examine the predictive variables on health-promoting behaviors.
RESULTS
Participants demonstrated a moderate level of health-promoting behaviors with a lowest mean score on the physical activity subscale; 40.6% of variance of health-promoting behaviors was predicted by no smoking, no obesity, perceived risk factors, self-efficacy, perceived control of health, and family support.
CONCLUSIONS
Health-promoting behaviors were affected by multidimensional factors including cognitions and affect variables and social support.
目的
本研究旨在描述冠心病患者的健康促进行为及其预测因素。
背景
健康促进行为可能改善生活质量并降低心脏死亡率，但超过80%的心脏病患者未能维持其健康促进行为。
方法
这项横断面研究从台湾一家医疗中心招募了200名冠心病患者。使用工具测量健康促进行为、认知与情感、社会支持和生活质量。进行分层多元回归分析以检验健康促进行为的预测变量。
结果
参与者表现出中等水平的健康促进行为，其中身体活动分量表得分最低；不吸烟、不肥胖、感知风险因素、自我效能感、健康感知控制和家庭支持可预测健康促进行为40.6%的方差。
结论
健康促进行为受到包括认知与情感变量以及社会支持在内的多维度因素的影响。
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