冠心病患者健康赋能认知与生活质量的相关性研究

冠心病（Coronary atherosclerotic heart disease，CHD）是冠状动脉血管发生动脉粥样硬化病变而引起血管腔狭窄或阻塞，造成心肌缺血、缺氧或坏死而导致的心脏病，已成为我国城乡居民死亡的首位原因1]。冠心病患者在很长一段时间内带病生存，严重影响其生活质量。生活质量是患者生活水平和健康状况的综合性评价标准2]，体现患者自我管理的能力3]。研究显示，患者感知赋能与患者自我管理能力呈正相关4]。患者感知赋能是指患者对于增强自身做出正确健康决策的知识、技能和信心的感受与认知5]。近年来，赋能逐渐变成一种增强患者参与并承担其卫生保健的责任，以优化健康结果和控制健康支出的策略6]。患者感知赋能在糖尿病、脑卒中等疾病中已有广泛研究，但在冠心病患者中研究较少。本研究旨在调查冠心病患者的感知赋能水平和生活质量现状，并探讨二者的相关性，为医护人员评估患者感知赋能水平、制订相关护理措施，改善冠心病患者生活质量提供借鉴参考。

The correlation between patient perceptions of empowerment and quality of life in patients with coronary heart disease

Objective: To investigate the correlation between patient perceptions of empowerment and quality of life in patients with coronary heart disease. Methods: Convenience sampling was used to select 300 patients with coronary heart disease who had been hospitalized in 2 Class 3A Hospitals in Shanghai from July to December 2020. A self-designed demographic questionnaire, Patient Perceptions of Empowerment Scale, 36-item shot form health survey and Seattle Angina Questionnaire were used. Results: The score of perceptions of empowerment in patients with coronary heart disease was in the middle level, which was (41.184.90). The score of quality of life in physical component was in the middle level, which was (57.99±15.19). The score of quality of life in mental component was in the high level, which was (70.06±13.72). The score of specific functional state in coronary heart disease was in the middle level, which was (59.18±12.25). Correlation analysis showed that patient perceptions of empowerment was positive correlated with the quality of life in patients with coronary heart disease (p<0.05). Furthermore, patient perceptual of empowerment was one of the influencing factors in patient quality of life by analyzed with multiple linear regression. Conclusion: Nurses should evaluate the level of patient perceptual of empowerment and develop individualized interventions to improve the patient perceptual of empowerment in patients with coronary heart disease.