中国老年冠心病患者自我调节疲劳的相关因素：一项横断面调查
Factors Associated with Self-Regulatory Fatigue in Chinese Older Patients with Coronary Heart Disease: A Cross-Sectional Survey.
作者信息
Ji Xiaofu, Yu Hongyu
机构信息
School of Nursing, Jinzhou Medical University, Jinzhou, Liaoning, People's Republic of China.
出版信息
Patient Prefer Adherence. 2023 Apr 1;17:941-949. doi: 10.2147/PPA.S400996. eCollection 2023.
PURPOSE
To identify important determinants of self-regulatory fatigue in older adults with coronary heart disease based on demographics, health literacy, and health empowerment factors.
PATIENTS AND METHODS
A total of 201 older patients with coronary heart disease (CHD) from First Affiliated Hospital of Jinzhou Medical University by cluster sampling method. Demographic Questionnaire, the Health Literacy Management Scale (HLSCP), the Patient Perception Empowerment Scale (PPES), and the Self-Regulatory Fatigue Scale (SRF-S) were used to collect the data.
RESULTS
The coronary heart disease elderly scored 44.20±6.98 points in self-regulatory fatigue. The results showed that residence, monthly household income, hospitalized times of CHD since illness, health literacy and health empowerment were significant determinants of self-regulatory fatigue (p<0.001). Self-regulatory fatigue was negatively correlated with health literacy (r=-0.639, P<0.01) and health empowerment (r=-0.580, P<0.01).
CONCLUSION
Residence, monthly household income, hospitalized times of CHD since illness influence self-regulatory fatigue among coronary heart disease patients. Health literacy and health empowerment were independent predictors of self-regulatory among coronary heart disease patients.
目的
基于人口统计学、健康素养和健康赋权因素，确定老年冠心病患者自我调节疲劳的重要决定因素。
患者与方法
采用整群抽样法，选取锦州医科大学附属第一医院的201例老年冠心病患者。使用人口统计学问卷、健康素养管理量表（HLSCP）、患者感知赋权量表（PPES）和自我调节疲劳量表（SRF-S）收集数据。
结果
冠心病老年患者自我调节疲劳得分为44.20±6.98分。结果显示，居住地、家庭月收入、患病以来冠心病住院次数、健康素养和健康赋权是自我调节疲劳的重要决定因素（p<0.001）。自我调节疲劳与健康素养（r=-0.639，P<0.01）和健康赋权（r=-0.580，P<0.01）呈负相关。
结论
居住地、家庭月收入、患病以来冠心病住院次数影响冠心病患者的自我调节疲劳。健康素养和健康赋权是冠心病患者自我调节的独立预测因素。
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