多次住院冠心病患者疾病感知水平的调查分析.pdfVIP

2017 2 23 2 Chin J Rehabil Theory Pract, Feb., 2017, Vol. 23, No.2 中国康复理论与实践 年 月第 卷第 期 - 221 - DOI: 10.3969/j.issn.1006-9771.2017.02.021 ·临床观察· 多次住院冠心病患者疾病感知水平的调查分析① 毛贵如，王丽姿，许桢桢，陈燕娜 [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 Illness Perception Level of Patients with Coronary Heart Disease MAO Gui-ru, WANG Li-zi, XU Zhen-zhen, CHEN Yan-na Department of Cardiovascular Medicine, Zhujiang Hospital of Southern Medical University, Guangzhou, Guang- dong 510280, China Correspondence to WANG Li-zi. E-mail: wangl_z@ Abstract: Objective To investigate the level about illness perception in patients with coronary heart disease. Methods From July to De- cember, 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 exam- ple, chest pains, uncomfortable feeling in chest, cold sweat, flustered and breathlessness were most