慢性心力衰竭患者健康心理控制源与健康促进行为调查

摘要

Objective:To analyze the characteristics of health locus of control in patients with chronic heart failure(CHF)and to study the correlation between health locus of control and health promotion behavior. Methods:The general information questionnaire,Multidimen-sional Health Locus of Control scale(MHLC)and Health Promoting Lifestyle Profile II(HPLP II)were used to conduct a questionnaire survey on 200 hospitalized patients with CHF. Results:The scores of internal HLC and chance HLC in patients with CHF were significantly lower than that the norm(P < 0. 01);the score of powerful HLC was significantly higher than the norm(P < 0. 01);the total score of HPLP II was 127. 28 ± 16. 61 points,the each dimension score from high to low was 2. 77 ± 0. 40 points(nutrition),2. 65 ± 0. 52 points (interpersonal relationships),2. 64 ± 0. 42 points( coping with pressure),2. 58 ± 0. 58 points( self realization),2. 20 ± 0. 40 points (health responsibility),1. 80 ± 0. 52 points(exercise);the score of powerful HLC was positively correlated with the total score of health behavior and the score of each dimension like internal HLC,self realization,health responsibility,nutrition,interpersonal relationship and coping with pressure(P < 0. 01);the score of chance HLC was negatively correlated with the total score of health behavior and the score of each dimension like health responsibility,nutrition and interpersonal relationship(P < 0. 01). Conclusion:The health locus of control of patients with CHF prone to powerful HLC. The general level of health promotion behavior of the patients is in the middle level. Therefore nursing staff should implement effective intervention measures to improve patients'health promotion behavior level according to the charac-teristics of health locus of control in patients with CHF.%目的：分析慢性心力衰竭（CHF）患者的健康心理控制源特征，探讨其健康心理控制源与健康促进行为的相关性。方法：采用一般资料调查表、多维度健康心理控制源量表（MHLC）及健康促进生活方式量表Ⅱ（HPLPⅡ）对200例 CHF 住院患者进行调查。结果：CHF 患者健康内控性和机遇得分均低于常模（P ＜0.01），健康有势力他人得分高于常模（P ＜0.01）；HPLPⅡ总分为（127.28±16.61）分，其各维度条目得分由高至低依次为营养（2.77±0.40）分、人际关系（2.65±0.52）分、压力应对（2.64±0.42）分、自我实现（2.58±0.58）分、健康责任（2.20±0.40）分、运动（1.80±0.52）分；内控性得分与健康行为总分及自我实现、运动、营养、人际关系各维度得分均呈正相关（P ＜0.01）；有势力他人得分与健康行为总分及自我实现、健康责任、营养、人际关系、压力应对各维度得分均呈正相关（P ＜0.01）；机遇得分与健康行为总分及健康责任、营养、人际关系各维度得分均呈负相关（P ＜0.01）。结论：CHF 患者健康心理控制源倾向于有势力他人，其健康促进行为处于一般水平，且健康促进行为与健康心理控制源具有密切相关性。护理人员应根据 CHF 患者的健康心理控制源特点，实施有效的护理干预措施，提高患者的健康促进行为水平。