【摘要】 目的:基于疾病认知和行为认知理论,调查家族性高胆固醇血症(FH)患者疾病认知与行为认知(体育锻炼和健康饮食)现状、预测患者的自我管理意向。方法:采用疾病认知问卷和计划行为量表对120例FH患者进行调查。采用SPSS 23.0、AMOS23.0统计分析及建构模型。结果:患者自评动脉粥样硬化、冠心病和高血压患病率分别为23.6%、52%和22.8%;31.5%的患者接受他汀治疗;结构方程模型拟合良好,体育锻炼方面,疾病认知对意图的路径系数为0.30,态度、个人控制和自我效能对FH患者意图路径系数分别为0.11、-0.25、-0.40;健康饮食方面,主观规范、态度和个人控制对意向路径系数分别为0.52、0.37和-0.25。结论:FH患者对疾病认知、体育锻炼、健康饮食的认知不足,强调疾病知识、端正患者态度、增强信心和个人控制力可提高FH患者体育锻炼意图,且疾病认知对自我管理影响显著,有必要对其强化健康教育。更多还原

【Abstract】 Objective: Patients with familial hypercholesterolemia( FH) patients are at extremely elevated risk for ASCVD. Effective management in three self-management behaviors,physical activity,healthy diet and adherence to medication,can significantly reduce the risk. Our research aims at investigating the illness perceptions and predicting the self-management intentions of FH patients byusingamulti-theory,integrated model. Methods: 120 FH were investigatedin this study. Patients were asked to independently fill out the Illness Perception Questionnaire( IPQ-R) and theory of planned behavior questionnaire. Using structural equation modeling( SEM) to analysis. SPSS 23. 0 and AMOS23. 0 statisticalanalysis software was used. Results: Patient self-rated prevalence of the rosclerosis,coronary heart disease and hypertension were 23. 6%,52%and22. 8%; 31. 5% of patients received statin therapy. The SEM was well fitted,physical exercise,disease cognition personal control,self-efficacy on FH patients with intentional path coefficients were 0. 11,-0. 25,-0. 40; healthy diet,subjective norms,attitudes and personal control to the intentional path coefficients were0. 37,0. 52 and-0. 25 respectively. Conclusion: The disease awareness of patients has a significant impact on self-management,itis necessary for FH patients with health education. Emphasize disease knowledge,enhance confidence,personal control can help patients improvetheir physical exercise will.更多还原