Saeidi Mozhgan, Komasi Saeid
Cardiac Rehabilitation Center, Imam Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
J Tehran Heart Cent. 2018 Jan;13(1):6-12.
Based on the protective health model, one of the most important components of etiological factors leading to protective health behaviors is perceived risk or perceived susceptibility. Accordingly, the present study was conducted to assess the uncontrolled and controlled effects of some factors in predicting perceived susceptibility among coronary artery bypass graft (CABG) patients. The data for the present cross-sectional study were gathered via assessment of 1052 CABG patients who referred to an outpatient cardiac rehabilitation clinic in a hospital in Iran between 2010 and 2014. The patients completed a checklist containing demographics, risk factors, and a single closed-ended question regarding perceived susceptibility at the beginning of their rehabilitation program. Binary logistic regression analysis was applied to identify the demographic and clinical correlations related to perceived susceptibility. Totally, 776 (73.8%) of the 1052 participants were male. The mean age of the patients was 58.0 ± 9.1 years. The results revealed that only 13.7% of the patients had perceived susceptibility; in addition, higher age (p value = 0.003) and family history of cardiac diseases (p value = 0.001) were able to significantly predict perceived susceptibility. When the demographic variables were controlled, once again age and family history of cardiac diseases were able to significantly increase perceived susceptibility by approximately 1.04 and 29.6 times, respectively. Our results revealed that higher age and family history of cardiac diseases were able to significantly predict perceived susceptibility among our CABG patients.
基于健康保护模型,导致健康保护行为的病因因素中最重要的组成部分之一是感知风险或感知易感性。因此,本研究旨在评估某些因素在预测冠状动脉搭桥术(CABG)患者感知易感性方面的非受控和受控效应。本横断面研究的数据是通过对2010年至2014年间转诊至伊朗一家医院门诊心脏康复诊所的1052名CABG患者进行评估收集的。患者在康复计划开始时完成了一份包含人口统计学、风险因素以及一个关于感知易感性的单一封闭式问题的清单。应用二元逻辑回归分析来确定与感知易感性相关的人口统计学和临床相关性。在1052名参与者中,共有776名(73.8%)为男性。患者的平均年龄为58.0±9.1岁。结果显示,只有13.7%的患者有感知易感性;此外,较高的年龄(p值=0.003)和心脏病家族史(p值=0.001)能够显著预测感知易感性。当控制人口统计学变量时,年龄和心脏病家族史再次能够分别显著增加感知易感性约1.04倍和29.6倍。我们的结果表明,较高的年龄和心脏病家族史能够显著预测我们CABG患者的感知易感性。