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影响心血管疾病患者健康促进行为的因素

Factors Affecting Health-Promoting Behaviors in Patients with Cardiovascular Disease.

作者信息

Park Hwan-Cheol, Oh Jihyun

机构信息

Division of Cardiology, Department of Internal Medicine, Hanyang University Guri Hospital, Guri City 11923, Korea.

Department of Nursing, Daejeon University, Daejeon 34520, Korea.

出版信息

Healthcare (Basel). 2021 Jan 8;9(1):60. doi: 10.3390/healthcare9010060.

Abstract

Cardiovascular disease is the leading cause of death globally and the second most common cause of death in South Korea. Health-promoting behaviors recommended for patients with cardiovascular disease include control of diet, physical activity, cessation of smoking, medication adherence, and adherence to medical recommendations. This study aimed to determine the relationship between depression, anxiety, perception of health status, and health-promoting behavior in patients from South Korea who have suffered from cardiovascular disease. The study population comprised 161 patients at the cardiovascular center at H Hospital who were diagnosed with cardiovascular disease. Descriptive statistics and stepwise multiple regression were employed to analyze the data. Negative correlations existed between depression, perception of health status, and health-promoting behavior. By contrast, a positive correlation existed between the perception of health status and health-promoting behavior. The main factors affecting health-promoting behaviors were alcohol consumption, duration of diagnosis, perception of health status, and depression. These variables explained 15.8% of the variance. To prevent adverse cardiac events, patients who suffer from cardiovascular disease should be assessed as soon as possible to identify psychiatric symptoms, thereby developing a potential intervention aimed at decreasing negative illness consequences.

摘要

心血管疾病是全球首要死因,在韩国则是第二大常见死因。推荐给心血管疾病患者的促进健康行为包括饮食控制、体育活动、戒烟、药物依从性以及遵循医疗建议。本研究旨在确定韩国心血管疾病患者的抑郁、焦虑、健康状况认知与促进健康行为之间的关系。研究对象包括H医院心血管中心161名被诊断患有心血管疾病的患者。采用描述性统计和逐步多元回归分析数据。抑郁、健康状况认知与促进健康行为之间存在负相关。相比之下,健康状况认知与促进健康行为之间存在正相关。影响促进健康行为的主要因素是饮酒、诊断时长、健康状况认知和抑郁。这些变量解释了15.8%的方差。为预防不良心脏事件,应尽快对心血管疾病患者进行评估,以识别精神症状,从而制定旨在减少负面疾病后果的潜在干预措施。

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