Status quo and influencing factors of self-management in readmitted patients with myocardial infarction
10.3760/cma.j.issn.1674-2907.2019.13.009
- VernacularTitle:再入院心肌梗死患者自我管理现状及其影响因素分析
- Author:
Lijun FAN
1
;
Fengying KANG
;
Lijie YANG
;
Linbo LI
Author Information
1. 山西医科大学护理学院
- Keywords:
Myocardial infarction;
Self-efficacy;
Discharge readiness;
? Self-management;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2019;25(13):1625-1630
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To investigate the correlation between self-efficacy, discharge readiness and self-management in readmitted patients with myocardial infarction, to explore the influencing factors to self-management and to provide a basis for intervention strategies in clinical practice. Methods? Totally 198 readmitted patients with myocardial infarction from First Hospital of Shanxi Medical University were selected using convenient sampling from December 2017 to May 2018 and investigated with the general informational questionnaire, Coronary Heart Disease Self-Efficacy Questionnaire (CHDSEQ), Discharge Readiness Scale (DRS), and Coronary Heart Disease Self-Management Scale (CHDSMS). Pearson correlation analysis and multivariate linear multilayer regression analysis were used to explore the influencing factors to self-management behavior. Results? The CHDSMS score of the 198 patients was (75.21±9.31), with a 63.12% scoring metrics;the CHDSEQ score was (50.91±10.43); the DRS score was (161.53±26.76). Correlation analysis showed that self-efficacy was positively correlated with self-management (r=0.537, P＜0.01), and that discharge readiness was positively correlated with self-management (r=0.416, P＜ 0.01). Multilayer correlation analysis revealed that the two factors could account for 14.1% of the variance of self-management. Conclusions? Medical and nursing workers should evaluate the discharge readiness of readmitted patients with myocardial infarction accurately, improve patients' self-efficacy, and provide effective discharge guidance for different groups according to relevant influencing factors, thus improving patients' self-management.
