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Relationships between Health Value or Perceived Control of Health and Health-promoting Lifestyles in Patients Undergoing Percutaneous Coronary Intervention

Author: LiCaiHong
Tutor: YuLiJun
School: Peking Union Medical College , China
Course: Nursing
Keywords: Treatment of patients with percutaneous coronary intervention Health promoting lifestyle Health awareness Perceived health control
CLC: R473.5
Type: Master's thesis
Year: 2008
Downloads: 355
Quote: 2
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Abstract


Background: The treatment of percutaneous coronary intervention (Percutaneous Coronary Intervention, PCI) is an important means of revascularization of coronary heart disease, but it is only palliative treatment does not cure or prevent the further development of the lesions. After PCI control the progression of the disease and the prevention of restenosis depends on a healthy lifestyle, but many patients to promote the establishment of healthy lifestyle insufficient attention, and scholars health awareness and perceived health control has a direct impact on health promoting lifestyle. Currently, China has yet to see the status on the PCI patient health promoting lifestyle, also no health consciousness, perceived health control and health promotion lifestyle relationship reported. The purpose of: (1) description of the PCI patients and health promoting lifestyle situation awareness of health status and perceived health control condition; (2) analysis of PCI patients health awareness, perceived health control and health promotion of the relationship between lifestyle. Method: Convenience select outpatient follow-up of coronary heart disease in a hospital in Beijing after PCI 1-6 months 190 cases of patients, using the questionnaire survey of patients, including Walker et al. Prepared health promoting lifestyle Scale II measure the patient health promotion lifestyle, design their own disease-specific health promoting lifestyle questionnaire to measure the patient's disease-specific health promotion lifestyles, Wallston prepared health value scale and perceived health control Scale to measure the patient's health awareness and perceived health Control. Results: (1) PCI patients health promoting lifestyles average total score of 2.51 ± 0.15, the six dimensions nutrition (2.74 ± 0.28) and interpersonal relations (2.68 ± 0.30) score the highest health responsibility (2.57 ± 0.30) and center exercise (2.56 ± 0.30), (2.31 ± 0.21) and stress management (2.21 ± 0.18) score the lowest self-realization. Patients with disease-specific health promoting lifestyles average total score of 3.31 ± 0.40; (2) the patient's level of health awareness at a higher level, with an average score of 8.47 ± 1.56; (3) patients with the highest scores for the three dimensions of perceived health control the perceived health the external authoritative control (4.17 ± 0.55), followed by perceived health internal controls (3.38 ± 0.84) and Perceived Health fate control belief (3.03 ± 0.45); (4) general information, the patient's level of education, income, intervene in the number and age into a multiple regression model; (5) health awareness and health promotion lifestyle was a significant positive correlation between health awareness did not enter the multiple regression model; the perceived health patients (6) external authorities (health care workers or dependents) control and perceived health of internal control and health promotion of the lifestyle showed a significant positive correlation (r = 0.156, r = 0.142), and enter the multiple regression model; while the fate of the perceived health control and health promotion lifestyle was significantly negatively correlated (r = 0.450), but did not enter a multiple regression model. Conclusion: The treatment of percutaneous coronary intervention in patients with health promoting lifestyle at a medium level the nutrition scores highest, the lowest score of stress management dimension; patients with disease-specific health promoting lifestyle at a higher level. Patients with low levels of education and income in poor condition, and intervene in a small number of relatively small and age, its health promoting lifestyle lower level. At a higher level of the patient's health awareness; despite the high level of health awareness and a high level of health promoting lifestyles between related, but did not find its health promoting lifestyle influential, possibly related to study design limitations, two by the relationship needs to be further explored. Perceived health external authoritative control and perceived health of internal control dominant in the the PCI patients healthy control belief systems and lifestyle factors affect health promotion; Despite high levels of perceived health fate control and low levels of health promotion life way, but did not find its health promoting lifestyle influential.

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CLC: > Medicine, health > Clinical > Nursing > Specialist nursing > Medical Nursing
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