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冠心病患者心理健康素养的现状及影响因素:一项横断面研究。

Current Status and Factors Influencing Mental Health Literacy in Patients With Coronary Heart Disease: A Cross-Sectional Study.

机构信息

School of Nursing, Bengbu Medical University, Bengbu, China.

Department of Nursing, The Second People's Hospital of Hefei, Hefei, China.

出版信息

Nurs Health Sci. 2024 Dec;26(4):e13165. doi: 10.1111/nhs.13165.

Abstract

This study aimed to investigate the current status of mental health literacy and related influencing factors in patients with coronary heart disease. Four hundred and thirty-five patients with coronary heart disease were recruited in this survey. Data collection was conducted using the General Information Questionnaire, the Chinese version of the Mental Health Literacy Scale, Coronary Artery Disease Self-Management Scale, Social Support Rating Scale, and Coronary Heart Disease Self-Efficacy Scale. Descriptive methods, independent samples t-test or one-way ANOVA, Pearson's correlation analysis, and multiple linear regression were used for data analysis. The results showed that the mean total mental health literacy score of patients with coronary heart disease was 96.42 ± 8.40; gender, age, education level, monthly per capita family income, first diagnosed with coronary heart disease, cardiac function classification, self-management ability, social support, and self-efficacy were the factors influencing the level of mental health literacy in patients with coronary heart disease (all p < 0.05). The study suggests that mental health literacy can improve patients' self-management ability and self-efficacy, and healthcare professionals should emphasize the strengthening of this aspect of health education in order to better improve patient's prognosis.

摘要

本研究旨在调查冠心病患者心理健康素养的现状及其相关影响因素。本调查共招募了 435 名冠心病患者。采用一般资料问卷、中文版心理健康素养量表、冠心病自我管理量表、社会支持评定量表和冠心病自我效能量表对患者进行资料收集。采用描述性方法、独立样本 t 检验或单因素方差分析、Pearson 相关分析和多元线性回归进行数据分析。结果显示,冠心病患者心理健康素养总得分的均数为 96.42±8.40;性别、年龄、文化程度、月人均家庭收入、首次确诊冠心病时间、心功能分级、自我管理能力、社会支持和自我效能是冠心病患者心理健康素养水平的影响因素(均 P<0.05)。研究提示,心理健康素养可提高患者的自我管理能力和自我效能,医护人员应重视加强这方面的健康教育,以更好地改善患者预后。

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