Abstract：Objective To explore the correlation between health empowerment and medical coping style of elderly patients with cardiovascular disease in hospital. Methods Convenient sampling method, the elderly chronic disease health empowerment scale and medical coping style questionnaire were used. From March to July 2019, 233 elderly patients with cardiovascular disease were selected and surveyed from the cardiovascular group of Geriatrics Department of the Second Hospital of Shanxi Medical University. Results Compared with national norm, the scores of facing and avoiding dimensions of hospitalized elderly patients with cardiovascular disease were lower, and the scores of yielding dimension were higher, the differences were statistically significant (P < 0.05). Health empowerment score of elderly patients with cardiovascular disease was (3.422±0.364) scores. Facing was positively correlated with of support, knowledge growth, treatment participation, self reconstruction and health empowerment total score (P ＜ 0.01). Avoiding was negatively correlated with knowledge growth and positively correlated with self reconstruction (P < 0.05). There was a negative correlation between surrender and responsibility belief, support, knowledge growth, treatment participation, self reconstruction and health empowerment total score (P < 0.05 or P < 0.01). Knowledge growth and treatment participation were the main factors of health empowerment influencing disease coping, and responsibility belief and self reconstruction were the main factors of health empowerment influencing yield coping. Conclusion Health empowerment level of elderly patients with cardiovascular disease affects the choice of medical coping style. Medical staff can improve the self-health management and promote positive response to the disease of elderly patients with cardiovascular disease by improving their health empowerment level.
任俊威 王志中. 老年心血管病患者健康赋权与应对方式相关研究[J]. 中国医药导报, 2020, 17(26): 37-40.
REN Junwei WANG Zhizhong. Correlation study between health empowerment and coping style in elderly patients with cardiovascular disease. 中国医药导报, 2020, 17(26): 37-40.
[1] 陈伟伟，高润霖，刘力生，等.《中国心血管病报告2017》概要[J].中国循环杂志，2018， 33（1）：1-8.
[2] 中华人民共和国国务院.中国防治慢性病中长期规划（2017-2025年）[J].中国实用乡村医生杂志，2017，24（11）：6-11.
[3] World Health Organization. Health promotion glossary[EB/OL].[2014-11-25].http：//www.who.int/healthpromotion/about/HPR%20Glossary%201998.pdf.
[4] Rodwell CM. An analysis of the concept of empowerment [J].J Adv Nurs，1996，23（2）：305-313.
[5] Mok E，Martinson I. Empowerment of Chinese patients with cancer through self-help groups in Hong Kong [J]. Cancer Nurs，2000，23（3）：206-213.
[6] 沈晓红，姜乾金.医学应对方式问卷中文版701例测试报告[J].中华行为医学与脑科学杂志，2000，9（1）：18-20.
[7] 何春秀，郝桂荣，张会君，等.老年2型糖尿病患者医学应对方式及影响因素研究[J].中国全科医学，2015，18（5）：525-529.
[8] 沈卫峰，贝政平.心血管病诊疗标准[M].上海：上海科学普及出版社，2013：1-520.
[9] Feifel H，Strack S，Nagy T. Coping strategies and associated features of medically ill patients [J]. Psychosom Med，1987，49（6）：616-625.
[10] 杨阳，曾铁英，赵梅珍.老年慢性病患者健康赋权量表的研制及信效度检验[J].护理学杂志，2017，32（17）：20-24.
[11] 杨阳，曾铁英.老年慢性病病人健康赋权水平及其影响因素[J].护理研究，2019，33（2）：36-40.
[12] 周秀鸾，杨秀菊.住院冠心病患者健康知识水平的调查分析[J].中国伤残医学，2013，21（11）：37-39.
[13] 魏丽霞.住院患者高血压知识认知程度的调查分析[J].内蒙古医学杂志，2014，46（4）：455-456.
[14] 李小妹.护理学导论[M].北京：人民卫生出版社，2010：293.
[15] 候宝霞，戴莉敏，刘媛，等.授权教育结合家庭支持在老年2型糖尿病病人管理中的应用[J].护理研究，2015， 29（8）：969-970.
[16] 程雪花，全美玲，冯瑞珍，等.团队式授权教育配合家庭支持对肝硬化患者自我管理行为和生存质量的影响[J].护理学杂志，2015，30（10）：91-93.
[17] 杜青.健康信念模式在老年慢性疾病患者中应用的效果评价[J].中国实用护理杂志，2012，28（22）：32-33.
[18] 朱敏.糖尿病患者慢性并发症筛查依从性与自我护理能力及应对方式的相关性[J].当代护士：中旬刊，2018， 25（12）：19-22.
[19] 翁慧雯，张国娟，蓝玉泓，等.健康素养、特质应对方式对血液透析患者治疗依从性的影响[J].中国中西医结合肾病杂志，2019，20（3）：235-237.
[20] 王爱华，孙宏伟，王艳郁，等.教育管理对哮喘患者疾病知识及应对策略的影响[J].中华护理教育，2009，6（7）：314-316.
[21] 李玉.早期原发性肝癌患者治疗决策辅助方案的构建与应用研究[D].上海：第二军医大学，2017：3.
[22] 刘锦凯，裘秀月.健康信念模式对慢性阻塞性肺疾病患者自我护理、自我感受负担及应对方式的影响[J].工业卫生与职业病，2018，44（6）：462-464，467.
[23] 何晓玲，徐锦江，邹凌云，等.乳腺癌患者术后自我效能、应对方式及生活质量的相关性研究[J].医学与哲学，2014，35（2）：71-73，79.
[24] 姜乾金，黄丽，卢抗生，等.心理应激：应对的分类与心身健康[J].中国心理卫生杂志，1993（4）：145-147.
2020, Vol. 17 
京公网安备 11010502046598号