The Impact of Social Resources on Self-management in Patients Undergoing Coronary Stent Implantation_West China Medical Journal

Authors：

 XingLu , YangYi ,  JiangXiaolian

Nursing Department, West China Hospital/West China Nursing College, Sichuan University, Chengdu, Sichuan, 610041, P. R. China;

Corresponding?author：

JiangXiaolian, Email: jiang_xiaolian0508@126.com

Keywords：

Angioplasty, transluminal, percutaneous coronary; Stents; Sociology; Health Resources; Self care

DOI：

10.7507/1002-0179.201600517

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To analyze the impact of social resources on self-management in patients undergoing coronary stent implantation, and provide evidence for nurses to predict patients' self-management behavior and take intervening measures. Methods A convenience sample of 359 patients undergoing coronary stent implantation between July and December 2013 was selected according to the criteria. Three instruments were used to collect data including general data scale, chronic illness resources survey (CIRS) and coronary artery disease self-management scale (CSMS). Results The score of CIRS among 359 patients was 2.77±0.60, and the scores of six subscales in descending order were support of neighborhood/community, media and policy, and family and friends, and personal coping, and support of physician/health care team, and organizations. The total score of CSMS was 55.58±10.59, and the scores of three subscales in descending order were:daily management, emotion management, and medical management. The total self-management score and factor scores of CIRS were significantly correlated with the total and factor scores of CSMS (r=0.183-0.663, P<0.05), while the correlation of support of physician/health care team and family and friends with daily life management was negative (r=-0.215, -0.294; P<0.05). Conclusion In this study, patients' total social resources are at a low level; the standard of self-management is at a moderate level, while medical management has the lowest score; good social resources can promote self-management, but supports from medical staff, family and friends are bad for patients' daily life management.

Citation： XingLu, YangYi, JiangXiaolian. The Impact of Social Resources on Self-management in Patients Undergoing Coronary Stent Implantation. West China Medical Journal, 2016, 31(11): 1886-1889. doi: 10.7507/1002-0179.201600517 Copy

1.	Mendis S, Puska P, Norrving B. Global Atlas on cardiovascular disease prevention and control[M].Genewa:World Health Organization, 2011.
2.	Moran A, Zhao D, Gu DF, et al. The future impact of population growth and aging on coronary heart disease in China:projections from the Coronary Heart Disease Policy Model-China[J].BMC Public Health, 2008, 8(1):1-14.
3.	WHO. 中國冠心病死亡人數世界第二[EB/OL].[2016-10-08].http://news.ifeng.com/society/news/detail.
4.	中華人民共和國衛生部統計信息中心. 2013年中國衛生統計年鑒[M].北京:中國協和醫科大學出版社, 2013:299-318.
5.	Walter DH, Schachinger V, Elsner M, et al. Effect of statin therapy on restenosis after coronary stent implantation[J].Am J Cardiol, 2000, 85(8):962-968.
6.	Goff J, Brass L, Braun LT, et al. Essential features of a surveillance system to support the prevention and management of heart disease and stroke:a scientific statement from the American heart association councils on epidemiology and prevention, stroke, and cardiovascular nursing and the interdisciplinary working groups on quality of care and outcomes research and atherosclerotic peripheral vascular disease[J].Circulation, 2007, 115(1):127-155.
7.	中華人民共和國國家衛生和計劃生育委員會. 國居民健康素養檢測報告[EB/OL].[2016-10-08].http://www.moh.gov.cn/xcs/s3582/201412/971753f8b9504caba6e081cb88cf6a58.shtml.
8.	Glasgow RE, Strycker LA, Toobert DJ, et al. A social-ecologic approach to assessing support for disease self-management:the chronic illness resources survey[J].J Behav Med, 2000, 23(6):559-583.
9.	華麗, 李新宇, 朱偉萍, 等. 2型糖尿病患者自我管理行為的社會生態模型——結構方程模型的驗證[J].中國衛生統計, 2014, 31(3):437-439.
10.	任洪艷. 冠心病自我管理量表開發及健康教育研究[D].重慶:重慶醫科大學, 2009.http://cdmd.cnki.com.cn/Article/CDMD-10631-2009230561.htm.
11.	謝博欽, 徐麗華. 冠心病患者自我管理行為現況及其預測因子分析[J].解放軍護理雜志, 2011, 28(6):3-7.
12.	WHO. The global health expenditure database[EB/OL].[2016-10-08].http://apps.who.int/nha/database.
13.	Campbell M, Torrance C. Coronary angioplasty:impact on risk factors and patients' understanding of the severity of their condition[J].Aust J Adv Nurs, 2006, 22(4):26-31.
14.	李彩紅. 經皮冠脈介入治療患者的健康意識. 健康控制與健康促進生活方式關系的研究[D].北京:北京協和醫學院, 2008.http://cdmd.cnki.com.cn/Article/CDMD-10023-2009064373.htm.
15.	Sundin ?, Lisspers J, Hofman-Bang C, et al. Comparing multifactorial lifestyle interventions and stress management in coronary risk reduction[J].Int J Behav Med, 2003, 10(3):191-204.
16.	張紅. 冠脈內支架置入術后患者健康行為及影響因素研究[D].重慶:重慶醫科大學, 2008.http://cdmd.cnki.com.cn/Article/CDMD-10631-2008177156.htm.
17.	Murphy BM, Le Grande MR, Navaratnam HS, et al. Are poor health behaviours in anxious and depressed cardiac patients explained by sociodemographic factors?[J].Eur J Prev Cardiol, 2013, 20(6):995-1003.
18.	劉峻蘭, 王麗姿. 冠脈支架內再狹窄患者遵醫行為情況調查和應對措施的研究[D].廣州:南方醫科大學, 2011.http://cdmd.cnki.com.cn/Article/CDMD-90023-1012250882.htm.
19.	張紅, 趙慶華. 冠狀動脈內支架置入術后患者健康行為與自我效能的相關性研究[J].中國行為醫學科學, 2008, 17(5):410-412.
20.	楊靜. 社會生態模型下成都市社區T2DM患者社會資源、自我管理、結局現狀及相關性研究[D].成都:四川大學, 2012.
21.	Abusabha R, Achterberg C. Review of self-efficacy and locus of control for nutrition-and health-related behavior[J].J Am Diet Assoc, 1997, 97(10):1122-1132.
22.	Yoo H, Kim CJ, Jang Y, et al. Self-efficacy associated with self-management behaviours and health status of South Koreans with chronic diseases[J].Int J Nurs Pract, 2011, 17(6):599-606.

1. Mendis S, Puska P, Norrving B. Global Atlas on cardiovascular disease prevention and control[M].Genewa:World Health Organization, 2011.
2. Moran A, Zhao D, Gu DF, et al. The future impact of population growth and aging on coronary heart disease in China:projections from the Coronary Heart Disease Policy Model-China[J].BMC Public Health, 2008, 8(1):1-14.
3. WHO. 中國冠心病死亡人數世界第二[EB/OL].[2016-10-08].http://news.ifeng.com/society/news/detail.
4. 中華人民共和國衛生部統計信息中心. 2013年中國衛生統計年鑒[M].北京:中國協和醫科大學出版社, 2013:299-318.
5. Walter DH, Schachinger V, Elsner M, et al. Effect of statin therapy on restenosis after coronary stent implantation[J].Am J Cardiol, 2000, 85(8):962-968.
6. Goff J, Brass L, Braun LT, et al. Essential features of a surveillance system to support the prevention and management of heart disease and stroke:a scientific statement from the American heart association councils on epidemiology and prevention, stroke, and cardiovascular nursing and the interdisciplinary working groups on quality of care and outcomes research and atherosclerotic peripheral vascular disease[J].Circulation, 2007, 115(1):127-155.
7. 中華人民共和國國家衛生和計劃生育委員會. 國居民健康素養檢測報告[EB/OL].[2016-10-08].http://www.moh.gov.cn/xcs/s3582/201412/971753f8b9504caba6e081cb88cf6a58.shtml.
8. Glasgow RE, Strycker LA, Toobert DJ, et al. A social-ecologic approach to assessing support for disease self-management:the chronic illness resources survey[J].J Behav Med, 2000, 23(6):559-583.
9. 華麗, 李新宇, 朱偉萍, 等. 2型糖尿病患者自我管理行為的社會生態模型——結構方程模型的驗證[J].中國衛生統計, 2014, 31(3):437-439.
10. 任洪艷. 冠心病自我管理量表開發及健康教育研究[D].重慶:重慶醫科大學, 2009.http://cdmd.cnki.com.cn/Article/CDMD-10631-2009230561.htm.
11. 謝博欽, 徐麗華. 冠心病患者自我管理行為現況及其預測因子分析[J].解放軍護理雜志, 2011, 28(6):3-7.
12. WHO. The global health expenditure database[EB/OL].[2016-10-08].http://apps.who.int/nha/database.
13. Campbell M, Torrance C. Coronary angioplasty:impact on risk factors and patients' understanding of the severity of their condition[J].Aust J Adv Nurs, 2006, 22(4):26-31.
14. 李彩紅. 經皮冠脈介入治療患者的健康意識. 健康控制與健康促進生活方式關系的研究[D].北京:北京協和醫學院, 2008.http://cdmd.cnki.com.cn/Article/CDMD-10023-2009064373.htm.
15. Sundin ?, Lisspers J, Hofman-Bang C, et al. Comparing multifactorial lifestyle interventions and stress management in coronary risk reduction[J].Int J Behav Med, 2003, 10(3):191-204.
16. 張紅. 冠脈內支架置入術后患者健康行為及影響因素研究[D].重慶:重慶醫科大學, 2008.http://cdmd.cnki.com.cn/Article/CDMD-10631-2008177156.htm.
17. Murphy BM, Le Grande MR, Navaratnam HS, et al. Are poor health behaviours in anxious and depressed cardiac patients explained by sociodemographic factors?[J].Eur J Prev Cardiol, 2013, 20(6):995-1003.
18. 劉峻蘭, 王麗姿. 冠脈支架內再狹窄患者遵醫行為情況調查和應對措施的研究[D].廣州:南方醫科大學, 2011.http://cdmd.cnki.com.cn/Article/CDMD-90023-1012250882.htm.
19. 張紅, 趙慶華. 冠狀動脈內支架置入術后患者健康行為與自我效能的相關性研究[J].中國行為醫學科學, 2008, 17(5):410-412.
20. 楊靜. 社會生態模型下成都市社區T2DM患者社會資源、自我管理、結局現狀及相關性研究[D].成都:四川大學, 2012.
21. Abusabha R, Achterberg C. Review of self-efficacy and locus of control for nutrition-and health-related behavior[J].J Am Diet Assoc, 1997, 97(10):1122-1132.
22. Yoo H, Kim CJ, Jang Y, et al. Self-efficacy associated with self-management behaviours and health status of South Koreans with chronic diseases[J].Int J Nurs Pract, 2011, 17(6):599-606.

Previous Article
The Cause Analysis and Prevention of Cracking of Skin Tissue Expander Applied for Ear Deformity Surgery
Next Article
110例新生兒外周動靜脈同步換血術的護理

West China Medical Journal

The Impact of Social Resources on Self-management in Patients Undergoing Coronary Stent Implantation

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content