Wang Wenru, Jiang Ying, Lee Chi-Hang
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD 11, 10 Medical Drive, Singapore, 117597, Singapore.
Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Health Qual Life Outcomes. 2016 Jul 28;14(1):113. doi: 10.1186/s12955-016-0514-7.
Patients with coronary heart disease (CHD) experienced poor physical health which was found to be associated with higher hospital readmission rates and increased mortality. The study aimed to identify the independent predictors of physical health in Singaporean patients with CHD.
A consecutive sample of 129 patients with CHD was recruited from the medical heart clinic of a tertiary public hospital in Singapore. A set of questionnaires including the Short Form 12-item health survey version 2, Perceived Stress Scale, Hospital Anxiety and Depression Scale, and Cardiac Self-Efficacy Scale were used to measure the study outcomes. The patients' socio-demographic and clinical data were also collected.
A multivariate linear regression analysis indicated that depression (B = -0.766, p < 0.05) and self-efficacy for maintaining function (B = 2.351, p < 0.05) remained significant while the other variables were adjusted and identified as the independent predictors of physical health in Singaporean patients with CHD.
This study has shed some light on the key factors influencing the physical health of Singaporean patients with CHD. The finding suggests tailored interventions that target mitigating a patient's depression and promote self-efficacy for maintaining function may be helpful in improving patients' physical health and quality of life.
冠心病（CHD）患者身体健康状况较差，且已发现这与较高的医院再入院率和死亡率增加有关。本研究旨在确定新加坡冠心病患者身体健康的独立预测因素。
从新加坡一家三级公立医院的心脏科门诊连续招募了129例冠心病患者。使用一组问卷，包括简明健康调查简表第2版、感知压力量表、医院焦虑抑郁量表和心脏自我效能量表来测量研究结果。还收集了患者的社会人口统计学和临床数据。
多因素线性回归分析表明，在调整了其他变量后，抑郁（B = -0.766，p < 0.05）和维持功能的自我效能感（B = 2.351，p < 0.05）仍然显著，并被确定为新加坡冠心病患者身体健康的独立预测因素。
本研究揭示了影响新加坡冠心病患者身体健康的关键因素。研究结果表明，针对减轻患者抑郁情绪和提高维持功能的自我效能感的针对性干预措施，可能有助于改善患者的身体健康和生活质量。
