《中国康复理论与实践》 ›› 2017, Vol. 23 ›› Issue (2): 221-225.doi: 10.3969/j.issn.1006-9771.2017.02.021

• 临床观察 • 上一篇    下一篇

多次住院冠心病患者疾病感知水平的调查分析

毛贵如, 王丽姿, 许桢桢, 陈燕娜   

  1. 南方医科大学珠江医院心血管内科,广东广州市510280
  • 收稿日期:2016-06-27 修回日期:2016-10-31 出版日期:2017-02-05 发布日期:2017-03-06
  • 通讯作者: 王丽姿,女,主任护师。E-mail: wangl_z@sina.com。
  • 作者简介:毛贵如(1990-),女,汉族,河南周口市人,硕士研究生,主要研究方向:冠心病二级预防。
  • 基金资助:
    广州市科技计划项目(No.201507020028)

Illness Perception Level of Patients with Coronary Heart Disease

MAO Gui-ru, WANG Li-zi, XU Zhen-zhen, CHEN Yan-na   

  1. Department of Cardiovascular Medicine, Zhujiang Hospital of Southern Medical University, Guangzhou, Guangdong 510280, China
  • Received:2016-06-27 Revised:2016-10-31 Published:2017-02-05 Online:2017-03-06
  • Contact: WANG Li-zi. E-mail: wangl_z@sina.com

摘要: 目的 调查多次入院冠心病患者的疾病认知情况。方法 选取2015年7月至12月多次住院冠心病患者198例,采用修订版疾病感知问卷(IPQ-R)对其进行调查。结果 症状辨别平均得分为(4.55±1.64);患者经历最多的症状是胸痛、胸部不适、出冷汗、心慌及呼吸困难。病情认知部分,治疗控制、疾病后果认知两维度得分超过中间分3分。病因估计部分,患者的首位疾病归因是食物或饮食习惯(3.38±0.90),其次是自然老化的过程(3.38±0.89);对患者归因因素各条目进行因子分析,其中免疫因素的得分最高,其次是压力因素。结论 多次住院冠心病患者的疾病认知水平处于中等水平,个体差异较明显,有待提高,医护人员应加强对患者疾病感知重视和干预。

关键词: 冠心病, 多次入院, 疾病感知

Abstract: Objective To investigate the level about illness perception in patients with coronary heart disease. Methods From July to December, 2015, 198 inpatients with coronary heart disease who were admitted into hospitals twice or more were enrolled. They were assessed with Illness Perception Questionnaire-Revised (IPQ-R). Results The score of common symptoms was (4.55±1.64). The symptoms, for example, chest pains, uncomfortable feeling in chest, cold sweat, flustered and breathlessness were most frequently experienced and most often identified. For the illness perception part, the scores on subscales of treatment control and consequences were higher than 3, which was the neutral point. For the cause dimension part, the highest scores was (3.38±0.90) in diet or eating habits, followed by (3.38±0.89) in aging. Among these factors, immune factors had the highest mean score, followed by stress factor. Conclusion The level of illness perception in patients with coronary heart disease was in the middle level, and individual differences were obvious. The awareness of the disease and the intervention of the patient should be strengthened.

Key words: coronary heart disease, multiple hospitalization, illness perception

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