心肌梗死病人自动功效与健康行为的调查分析

目的：调查和分析心肌梗死病人的自我功效与健康行为。方法：运用Bandura自我功效理论，对60例心肌梗死病人的自我功效与健康行为进行描述相关性研究。结果：自我功效与健康行为呈正相关。受教育程度和家庭人均收入与自我功效和健康行为呈正相关。住院次数与自我功效和健康行为呈负相关。结论：在护理实践和教育中重视病人的自我功效对健康行为的促进作用。     

心肌梗死病人自我功效与健康行为的调查分析

目的　调查和分析心肌梗死病人的自我功效与健康行为。方法　运用Bandura自我功效理论 ,对 6 0例心肌梗死病人的自我功效与健康行为进行描述相关性研究。结果　自我功效与健康行为呈正相关。受教育程度和家庭人均收入与自我功效和健康行为呈正相关。住院次数与自我功效和健康行为呈负相关。结论　在护理实践和教育中重视病人的自我功效对健康行为的促进作用     

护理学研究

012753心肌梗死病人的自我功效与健康行为的关系研究/袁浩斌…刀上海护理一2001,1(1)一1一3 为探究心肌梗死病人的自我功效与健康行为的关系,以Bandura的自我功效理论作为概念框架,对60例心肌梗死病人进行回顾性研究。结果表明:心肌梗死病人的自我功效与健康行为成正相关,即具有较高能力信心的病人更能坚持健康行为。建议:应重视人的自我功效对其健康行为的促进作用。图1表2参10(原文摘要)012754肝硬化病人的应对方式及影响因素/程云…//上海护理一2001,1(1)一4一6 应用描述性研究的方法,采用J目。wiec应对方式童表对60例肝硬化病人的应对…     

哮喘病人自我功效与健康行为的调查分析

目的 调查和分析哮喘病人的自我功效与健康行为。方法 运用自我功效理论,对83例哮喘病人的自我功效与健康行为进行相关研究。结果 自我功效与健康行为是正相关。哮喘发作率和住院次数与自我功效和健康行为呈负相关。结论 在护理实践和健康教育中应重视病人的自我功效对健康行为的促进作用。     

对急性心肌梗死患者实施早期康复指导的临床观察

目的探讨急性心肌梗死患者实施早期康复护理及健康指导的内容、方法和效果.方法对28例无合并症的急性心肌梗死患者实施早期康复活动程序和健康指导,注意提高患者的自我功效.结果28例患者均顺利完成早期康复活动程序,未出现不良后果,自我功效增强,平均住院日缩短,住院期间无并发症发生.结论对无合并症急性心肌梗死患者实施早期康复活动时,给予全面及时的健康指导,能确保早期康复的顺利进行和安全有效,增强患者的自我功效,促进其健康行为,加快患者体力及心理状况的康复,从而改善预后,提高日后生活质量.     

脑卒中后吞咽障碍病人安全进食行为现状及影响因素

目的:了解脑卒中后吞咽障碍（PSD）病人的安全进食行为现状，并分析其影响因素。方法:选取2021年2月—2022年10月某三级甲等医院就诊的PSD病人251例为研究对象。采用一般资料问卷、PSD病人安全进食行为评价量表、家庭关怀度量表、健康信念模式量表及慢性病自我效能量表对其进行调查，并分析家庭关怀度、健康信念与自我效能对安全进食行为的影响路径。结果:PSD病人的安全进食行为得分为（79.45±21.09）分；安全进食行为得分与家庭关怀度、健康信念及自我效能得分呈正相关（均P<0.01）。基于Bootstrap的路径分析显示，健康信念、自我效能对安全进食行为存在直接正向影响，健康信念、自我效能在家庭关怀度和安全进食行为间的间接效应显著，总间接效应为0.455，占总效应值的75.58%。结论:健康信念和自我效能在PSD病人家庭关怀度与其安全进食行为间起中介效应，应基于病人-照顾者的二元干预策略提升PSD病人的家庭关怀度，帮助病人树立积极的健康信念以及康复信心，以提升其安全进食行为水平。     

社区老年COPD病人健康促进行为与自护行为的相关性研究

[目的]了解社区老年慢性阻塞性肺疾病（COPD）病人健康促进行为、自我护理行为现状及两者的关系。[方法]对长沙市4所社区服务中心97例老年COPD病人,采用一般资料调查问卷、健康促进行为问卷和COPD病人自我护理行为量表进行调查。[结果]社区老年COPD病人的健康促进行为、自我护理行为得分分别为（117.86±4.94）分、（89.07±1.51）分,均处于中等水平;其自我护理行为与健康促进行为呈正相关（r=0.497,P〈0.05）。[结论]长沙市社区老年COPD病人健康促进行为和自我护理行为有相关性,社区医务人员在工作中应重视评估和增强病人的自我护理行为能力,使病人能更好地执行健康促进行为,从而提高病人的健康促进行为和自我护理行为能力,改善生活质量。     

急性心肌梗死病人配偶应对反应的调查研究与健康教育

目的：通过对急性心肌梗死病人配偶应对反应的调查,了解病人配偶认知、行为应对方法及心理防御反应的状况,以便积极为病人配偶提供健康指导。方法：采用定性研究的方法,对42例心肌梗死病人配偶进行访谈。结果：急性心肌梗死病人配偶最想获得行为应对方面的健康知识。结论：护理工作者对急性心肌梗死病人配偶首先进行行为应对方面的健康教育指导,以帮助病人家庭应对病人危重时的危机状态,维持家庭功能,促进病人的康复。     

社区老年COPD病人健康促进行为与自护行为的相关性研究

[目的]了解社区老年慢性阻塞性肺疾病(COPD)病人健康促进行为、自我护理行为现状及两者的关系。[方法]对长沙市4所社区服务中心97例老年COPD病人,采用一般资料调查问卷、健康促进行为问卷和COPD病人自我护理行为量表进行调查。[结果]社区老年COPD病人的健康促进行为、自我护理行为得分分别为(117.86±4.94)分、(89.07±1.51)分,均处于中等水平;其自我护理行为与健康促进行为呈正相关(r=0.497,P0.05)。[结论]长沙市社区老年COPD病人健康促进行为和自我护理行为有相关性,社区医务人员在工作中应重视评估和增强病人的自我护理行为能力,使病人能更好地执行健康促进行为,从而提高病人的健康促进行为和自我护理行为能力,改善生活质量。     

微信平台健康教育对出院心肌梗死病人护理效果的影响

[目的]探讨微信平台健康教育对出院心肌梗死病人护理效果的影响。[方法]将心肌梗死病人200例随机分为两组各100例,对照组给予常规健康教育,观察组进行微信平台健康教育,比较两组病人心肌梗死疾病知识掌握情况、自我效能、病人出院后3个月心绞痛发作次数、持续时间、再次心肌梗死入院率。[结果]观察组病人心肌梗死相关知识掌握情况、自我效能明显高于对照组,心绞痛发作次数、持续时间和半年内复发再入院率明显低于对照组(均P0.05)。[结论]微信平台健康教育可提高病人对疾病相关知识的认知,最大限度地减少心肌梗死后心绞痛发作次数以及再入院率。     

The serum selenium concentration of patients with acute myocardial infarction

Serum selenium concentration was determined in 49 patients with acute myocardial infarction within 4 hours after the beginning of the symptoms. The mean serum selenium concentration of the patients was significantly lower than that of healthy controls (55 +/- 15 micrograms/l vs. 78 +/- 11 micrograms/l). Among the 49 patients with acute myocardial infarction 20 (41%) had serum selenium concentration below the 95% percentile of the healthy control group. It is concluded that the low serum selenium concentration was present in these patients before the acute event and was not a consequence of the myocardial infarction. No relationship was found in this study between the serum selenium concentration and the severity of myocardial infarction if the number of coronary vessels occluded is taken as the criterion of severity. Serum selenium concentration was similar in patients with 1 or more coronary vessels occluded. Patients with anterior or posterior myocardial infarction had similar serum selenium concentrations. A positive correlation was observed between serum selenium concentration and total serum creatine kinase (CK) activity and serum myoglobin (MB). The serum selenium concentration correlated negatively with the ratio CK-MB/total CK activity, which can be interpreted as minor injury of mitochondria during infarction in patients with normal serum selenium concentration.     

血液透析患者自我效能与自我管理行为的相关性分析

目的 探讨血液透析患者自我效能与自我管理行为之间的相关性.方法 采用美国Stanford大学慢性疾病教育研究中心的自我效能量表和自我管理行为问卷对89例血液透析患者进行调查.结果 本组89例血液透析患者自我效能平均得分为（6.55±1.97）分.其中自我效能水平高者20例占22.47％,自我效能水平中等者39例占43.82％,自我效能水平低者30例占33.7％.89例血液透析患者自我效能水平为（38.51±10.91）分,自我管理行为水平为（76.38±14.88）分;多元线性回归分析显示,职业及医疗费用对家庭的影响是血液透析患者自我管理行为的主要的影响因素（P＜0.05）;血液透析患者自我效能与自我管理行为之间呈正相关（r=0.43,P＜0.01）.结论 血液透析患者自我效能与自我管理行为之间存在密切关系,临床工作者应依据自我效能理论为依据,调动患者的自身潜能,通过护理干预来提高患者自我管理行为.     

老年高血压患者健康行为自我效能与健康行为的相关性

目的探讨老年高血压患者健康行为自我效能和健康行为的相关性。方法选取206例老年高血压患者为研究对象,采用健康行为自我效能量表和健康行为量表测量其自我效能和健康行为,分析两组的相关性。结果老年高血压患者的健康行为自我效能和健康行为得分分别为（66．24±13．95）分,（72．254-16．66）分,50％的患者处于高等水平,各个分量表中心理安适效能为最高;23．8％的患者健康行为处于中等水平,各个维度中营养层面最高,相对系数为76．5％,相对系数为52．9％;患者的自我效能和健康行为呈正相关（r=0．677,P〈0．01）;且健康行为和健康行为自我效能各个维度亦呈显著性正相关（P〈0．01）。结论制定有效的护理措施来提高老年高血压患者的自我效能,从而改善其健康行为,提高生活质量。     

Relationship between blood groups and behavior patterns in men who have had myocardial infarction

Consistent correlations have been found between physical dysfunctional states and blood factors. Some of these disorders have possible psychosomatic components (eg, duodenal ulcer, myocardial infarction). This study focused on the relationship between blood types and various indices of behavior patterns (eg, type A behavior scores, anger ratings) in young patients who had had an initial myocardial infarction. Patients with blood type O scored significantly higher on type A behavior scales and related indices than those having blood type A. Those with blood group B responded on several scales between those with types A and O. We discuss the utility of blood groupings in future research in the prediction of myocardial infarction, methodologic limitations, the relationship of these results to temperament studies, Jenkins Activity Survey subtest patterns, anti-H reactivity pattern, and hypotheses relating blood factors and behavioral traits in patients with psychosomatic disorders.     

B型钠尿肽和大内皮素1对心力衰竭患者的预后作用及其与心血管病关系的研究

目的研究B型钠尿肽(BNP)和内皮素1(EP-1)对心力衰竭患者的预后作用及其与心血管病关系。方法选择就诊的心力衰竭患者作为观察组,健康者作为对照组,采用酶联免疫分析法(ELISA)的方法检测外周血中BNP、EP-1的水平。结果心力衰竭患者外周血中BNP和EP-1明显高于健康者,并且心力衰竭的分期越高、病情越严重,患者外周血中BNP和EP-1的含量也越高;心力衰竭合并心房颤动的患者BNP和EP-1含量明显高于未合并房颤的患者,合并心肌梗死的患者BNP和EP-1含量也明显高于未合并心肌梗死的患者。结论 BNP和EP-1对心力衰竭的早期诊断、合并房颤和心梗的判断、预后的分析均有积极意义。     

健康行为能力水平及心理弹性对初产妇母乳喂养自我效能的影响

目的分析初产妇健康行为能力水平、心理弹性以及母乳喂养自我效能之间的关系。方法采用便利抽样法,选取2018年9月—2019年3月郑州大学附属儿童医院的140名初产妇作为调查对象,分别采用一般资料调查表、健康行为能力自评量表、心理弹性量表以及母乳喂养自我效能量表短表进行问卷调查,然后根据调查数据分析初产妇健康行为能力、心理弹性以及母乳喂养自我效能之间的关系。本次研究共发放问卷140份,其中有效问卷137份,问卷有效回收率为97.86%。结果137名初产妇健康行为能力自评量表总分为(68.25±13.85)分,条目均分为(2.43±0.92)分,心理弹性量表总分为(57.41±13.82)分,条目均分为(2.30±1.22)分,母乳喂养自我效能量表短表总分为(48.83±10.87),条目均分为(3.87±1.26)分。Pearson相关性分析结果显示,初产妇健康行为能力量表各维度、心理弹性量表各维度与母乳喂养自我效能量表各维度得分之间均呈正相关(P<0.01)。健康行为能力是初产妇心理弹性和母乳喂养自我效能的中介效应,效应占总效应的37.19%。结论母乳喂养自我效能与健康行为能力水平和心理弹性之间均存在正向相关关系,且健康行为能力水平在心理弹性和母乳喂养自我效能之间起到了中介变量的作用,因此提升初产妇心理弹性和健康行为能力水平可显著改善其母乳喂养自我效能,对提升初产妇的母乳喂养率有显著作用。     

实时三维超声心动图评价陈旧性心肌梗死患者左心室收缩同步性与收缩功能

目的 应用实时三维超声心动图(RT-3DE)评价陈旧性心肌梗死患者左心室收缩同步性与收缩功能,并探讨左心室收缩同步性对左心室整体及局部收缩功能的影响.方法 对陈旧性心肌梗死组30例(心梗组,其中陈旧性前壁心梗14例)及20名正常人(正常组)行RT-3DE检查,通过脱机软件分析整体及节段容积-时间曲线,获取左心室整体及节段收缩功能参数、左心室收缩同步性参数.结果 心梗组左心室ESV、EDV显著大于正常组(P＜0.01),LVEF显著小于正常组(P＜0.001).心梗组左心室16及12节段收缩同步性参数显著大于正常组(P＜0.001),且均与LVEF呈负相关,其中Tmsv-16-SD%、Tmsv-16-Dif%相关性最高,r值分别为-0.755、-0.747.前壁心梗组梗死节段及邻近节段rEF、rgEF显著减低(P＜0.05),Tmsv%明显延长(P＜0.05),部分未梗死节段Tmsv%出现不同程度缩短,但差异无统计学意义,且前壁心梗组Tmsv% 明显延长的节段与rEF、rg-EF明显减低的节段基本呈对应关系.结论 RT-3DE能定量评价心肌梗死患者左心室收缩同步性及收缩功能,左心室不同步运动可影响左心室收缩功能.     

Plasminogen activator inhibitor in patients with acute myocardial infarction and re-infarction in syndrome X

Plasminogen activator inhibitor was determined in myocardial infarction and re-infarction patients along with other parameters relevant for the Syndrome X, such as triglycerides, HDL-cholesterol and body mass index. Plasminogen activator inhibitor was determined in 58 patients with myocardial infarction and 18 patients with re-infarction as well as in 57 healthy individuals. Significantly higher plasminogen activator inhibitor values were found in re-infarction patients (6.53 +/- 0.39 U/mL) than in myocardial infarction patients (4.32 +/- 0.19 U/mL), whereas the values were significantly higher in both groups in comparison to healthy individuals (2.81 +/- 0.74 U/mL). Triglyceride values were also significantly higher in myocardial infarction (2.05 +/- 0.1 mmmi/L) and re-infarction patients (2.02 +/- 0.99 mmol/L) than in healthy individuals (1.35 +/- 0.58 mmol/L), although the difference between the triglyceride values obtained for myocardial infarction and re-infarction patients was not statistically significant. HDL-cholesterol values for myocardial infarction (1.18 +/- 0.04 mmol/L) and re-infarction (1.14 +/- 0.18 mmol/L) patients were significantly lower than in healthy individuals (1.46 +/- 0.5 mmol/L). However, the difference was not statistically significant between the myocardial infarction and the re-infarction group. The difference in body mass index between myocardial infarction (26.65 +/- 0.39 kg/m2) and re-infarction (25.49 +/- 0.39 kg/m2) patients and healthy individuals (24.45 +/- 3.41 kg/m2) was evidenced.     

The contributions of psychological disposition and risk factor status to health following treatment for coronary artery disease.

BACKGROUND: Successful adjustment following treatment for coronary artery disease is related to both psychological disposition and risk factor status. Consideration of the interplay between these variables is required to better acknowledge their relationship with health outcome. AIMS: To determine the salience of self-efficacy and locus of control to both general self-rated health and current cardiac health, relative to risk factor status. To determine whether self-efficacy is a more salient predictor of health status than locus of control. METHODS: Men (n=248) treated in the previous 3 years for either coronary artery disease alone or a myocardial infarction completed a questionnaire in which clinical, risk factor (knowledge of risk factors, current risk factors, change in risk factors), psychological (self-efficacy, locus of control) and health information were sought. RESULTS: Self-efficacy and internal locus of control had both direct and indirect influences on health in the models in which knowledge of risk factors was treated as the potential mediator. This pattern of results was not evident when either current risk factors or change in risk factors were examined as potential mediators. In the models in which self-efficacy was considered as a potential mediator of locus of control in the prediction of health status, self-efficacy was determined to be the more relevant psychological construct. CONCLUSION: The consistent positive associations obtained among self-efficacy, cognitive risk factor status and health suggest that health professionals involved in cardiac rehabilitation should be encouraged to tailor interventions that allow patients to both improve their understanding of CAD and also to develop greater self-confidence in their ability to implement the acquired knowledge.