CAJ | 학술논문

目的：调查慢性病患者疾病认知与健康管理状况,探讨两者之间的相关性,为慢性病患者的治疗与康复提供干预依据。方法2014年6—8月采用中文修订版疾病感知问卷( CIPQ-R)和健康促进生活方式量表Ⅱ( HPLPⅡ)对286例慢性病患者进行问卷调查。结果慢性病患者疾病急/慢性因子、疾病周期性因子、严重后果因子、个人控制因子、治疗控制因子、疾病相关性因子及情绪陈述因子得分分别为(22.96±0.49),(15.82±0.67),(24.88±0.38),(24.34±0.55),(21.06±0.47),(21.76±0.51),(27.16±0.44)分。慢性病患病者HPLPⅡ总分为(127.92±12.14)分,健康责任维度、运动锻炼维度、营养维度、自我实现维度、人际关系维度及压力管理维度得分分别为(22.26±3.67),(21.47±4.38),(23.58±3.65),(20.74±3.17),(21.62±3.01),(18.37±3.44)分。相关分析显示,CIPQ-R与HPLPⅡ具有高度负相关性,差异有统计学意义(r=-0.4145~-0.576,P<0.01)。结论慢性病患者疾病认知水平和健康管理能力不高,有待进一步加强,疾病认知是健康管理能力的重要影响因素,医务工作者应帮助慢性病患者提高疾病感知水平,以提高健康管理能力,促进治疗与康复。
목적：조사만성병환자질병인지여건강관리상황,탐토량자지간적상관성,위만성병환자적치료여강복제공간예의거。방법2014년6—8월채용중문수정판질병감지문권( CIPQ-R)화건강촉진생활방식량표Ⅱ( HPLPⅡ)대286례만성병환자진행문권조사。결과만성병환자질병급/만성인자、질병주기성인자、엄중후과인자、개인공제인자、치료공제인자、질병상관성인자급정서진술인자득분분별위(22.96±0.49),(15.82±0.67),(24.88±0.38),(24.34±0.55),(21.06±0.47),(21.76±0.51),(27.16±0.44)분。만성병환병자HPLPⅡ총분위(127.92±12.14)분,건강책임유도、운동단련유도、영양유도、자아실현유도、인제관계유도급압력관리유도득분분별위(22.26±3.67),(21.47±4.38),(23.58±3.65),(20.74±3.17),(21.62±3.01),(18.37±3.44)분。상관분석현시,CIPQ-R여HPLPⅡ구유고도부상관성,차이유통계학의의(r=-0.4145~-0.576,P<0.01)。결론만성병환자질병인지수평화건강관리능력불고,유대진일보가강,질병인지시건강관리능력적중요영향인소,의무공작자응방조만성병환자제고질병감지수평,이제고건강관리능력,촉진치료여강복。
Objective To survey the condition of disease cognition and health management in the patients with chronic disease ( CD) , to explore their correlation, in order to afford the intervention basis for the treatment and rehabilitation of the patients with CD. Methods To survey the condition of disease cognition and health management in the patients with chronic disease ( CD) , to explore their correlation, in order to afford the intervention basis for the treatment and rehabilitation of the patients with CD. Results The score of acute /chronic factor, cyclical factor, consequences factor, personal control factor, treatment control factor, illness coherence factor, and emotional representation factor for CD patients were respectively (22. 96 ± 0. 49), (15. 82 ± 0. 67),(24. 88 ± 0. 38),(24. 34 ± 0. 55),(21. 06 ± 0. 47),(21. 76 ± 0. 51) and (27. 16 ± 0. 44). The total score of HPLPⅡwas (127. 92 ± 12. 14), and the score of health responsibility dimension, exercise dimension, nutrition dimension, self-realization dimension, interpersonal dimension and stress management dimension were respectively (22. 26 ± 3. 67),(21. 47 ± 4. 38),(23. 58 ± 3. 65),(20. 74 ± 3. 17),(21. 62 ± 3. 01) and (18. 37 ± 3. 44). Correlation analysis showed that there was a high negative correlation between CIPQ-R and HELP Ⅱ (r= -0. 414 5--0. 576,P<0. 01). Conclusions The condition of disease cognition level and health management ability of the CD patients were not high, and disease cognition is a important factor which influences health management ability. The medical workers should help the patients with CD to improve disease cognition level, in order to improve their health management ability, and promote treatment and rehabilitation.