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心血管疾病患者健康相关变量及健康促进生活方式的预测因素

Health-related variables and predictors of Health-promoting Lifestyle in cardiovascular disease patients.

作者信息

Mohsenipouya Hossein, Majlessi Fereshteh, Shojaeizadeh Davood, Foroushani Abbas Rahimi, Ghafari Rahman, Habibi Vali, Makrani Azam Seyfi

机构信息

Ph.D. Candidate, Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, International Campus (TUMS- IC), Tehran, Iran.

MD, Professor, Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Electron Physician. 2016 Apr 25;8(4):2274-80. doi: 10.19082/2274. eCollection 2016 Apr.

Abstract

INTRODUCTION

The principal cause for death in the world is cardiovascular disease. Poor lifestyle is a contributing element in this regard. The objective of this study was to estimate the effects of health-related variables and lifestyle variables on the results of exercise stress tests in patients with cardiovascular disease in Iran.

METHODS

The study population in this case-control study was 220 patients who were candidates for exercise stress tests in Mazandaran Province (Iran) in 2015. The patients were divided randomly into two groups based on the results of their exercise stress tests, i.e., positive (110 patients) and negative (110 patients). The data collection tool was a standard questionnaire entitled "Health promotion lifestyle profile-II." The data were analyzed using mean, standard deviation, the chi-squared test, and logistic regression by SPSS version 22 software.

RESULTS

The risk of a positive exercise stress test increases with age. The age group above 65 was 1.049 times more at risk of a positive exercise stress test than the age group of less than 45. The people with dyslipidemia had 1.635 times greater risk of positive exercise stress tests than the group without dyslipidemia. In addition, patients with hypertension had 1.579 times greater risk of positive exercise stress tests than the group without hypertension. The lack of individual health responsibility (Odds ratio (OR): 1.622), stress management (OR: 1.592), and physical activity (OR: 1.245) contributed more to positive exercise tests than the other risk factors.

CONCLUSION

Educational interventions can improve the responsibility for health, physical activity, and stress management among people with the risk of cardiovascular disease.

摘要

引言

世界上主要的死因是心血管疾病。不良的生活方式在这方面是一个促成因素。本研究的目的是评估健康相关变量和生活方式变量对伊朗心血管疾病患者运动应激试验结果的影响。

方法

本病例对照研究的研究对象为2015年伊朗马赞德兰省220名运动应激试验候选患者。根据运动应激试验结果,患者被随机分为两组,即阳性组(110例患者)和阴性组(110例患者)。数据收集工具是一份名为“健康促进生活方式量表-II”的标准问卷。使用SPSS 22版软件通过均值、标准差、卡方检验和逻辑回归对数据进行分析。

结果

运动应激试验阳性风险随年龄增加而升高。65岁以上年龄组运动应激试验阳性风险比45岁以下年龄组高1.049倍。血脂异常患者运动应激试验阳性风险比无血脂异常组高1.635倍。此外,高血压患者运动应激试验阳性风险比无高血压组高1.579倍。缺乏个人健康责任感(比值比(OR):1.622)、压力管理(OR:1.592)和体育活动(OR:1.245)对运动试验阳性的影响比其他风险因素更大。

结论

教育干预可以提高心血管疾病风险人群的健康责任感、体育活动和压力管理水平。

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