| Objective:To investigate general condition and characteristics of health promoting behavior (HPB) in patients with coronary heart disease (CHD), as well as the level of health locus of control (HLC), self-esteem, coping styles and then to analyze their relationships with HPB of patients with CHD.Methods:272patients with CHD were recruited from cardiology department of a tertiary-care hospital in Shandong Province during November2010to July2011in a cross-sectional study. And patients were investigated with general information questionnaire, Health-Promoting Lifestyle Profile Ⅱ (HPLP Ⅱ), Multidimentional Health Locus of Control Scale (MHLC), Self-Esteem Scale (SES), and Medical Coping Modes Questionnaire (MCMQ) and then data were analyzed by SPSS16.0.Results:1. Total score of HPB of patients with CHD was133.49±26.34, and the entries average of each demension were nutrition (2.82±0.61), interpersonal relations (2.67±0.55), stress management (2.63±0.59), health responsibility (2.48±0.55), physical activity (2.41±0.74), spiritual growth (2.39±0.59) in the descending order.2. There were statistical differences of HPB in different social demography characteristics and illness features of patients with CHD. Those who were mid-life, with college degree educational level or above, still at their post, urban residents, lived with their families, with per capita income of family>￥1000monthly, had free medical care, with more than half a year disease course, with more than two complications, had normal weight and obesity trended to demonstrate a higher score of HPB compared with those who were youth and old, with middle school and technical secondary school educational level, retired, rural residents, lived alone, with per capita income of family<￥1000monthly, at their own expense and joined in the rural cooperative care system, with less than half a year disease course, with no complication, low weight and overweight.3. The score of internal health locus of control, powerful health locus of control and chance health locus of control of patients with CHD were22.08±6.67,23.85±4.94,19.20±6.92. The score of internal health locus of control was positively correlated with total score of HPB and scores of health responsibility, physical activity, nutrition, spiritual growth, stress management (P<0.01), and related coefficients were respectively0.249,0.307,0.232,0.261,0.209,0.198; The score of powerful health locus of control was positively correlated with the score of health responsibility (P<0.05), and the related coefficient was0.150; The score of chance health locus of control was negatively correlated with total score of HPB and scores of health responsibility, physical activity, nutrition, spiritual growth, interpersonal relations, stress management (P<0.01, P<0.05), and related coefficients were respectively-0.194,-0.172,-0.143,-0.169,-0.187,-0.212,-0.141.4. Total score of self-esteem of patients with CHD was27.16±5.03, which was positively correlated with total score of HPB and scores of health responsibility, physical activity, nutrition, spiritual growth, interpersonal relations, stress management (P<0.01), and related coefficients were respectively0.423,0.388,0.298,0.392,0.393,0.354,0.312.5. The entries average of confronation coping style, avoidance coping style, compromising coping style of patients with CHD were2.61±0.63,2.38±0.57,2.15±0.97. The score of confrontation coping style was positively correlated with total score of HPB and scores of health responsibility, physical activity, nutrition, spiritual growth, interpersonal relations, stress management (P<0.01), and related coefficients were respectively0.647,0.631,0.578,0.529,0.544,0.447,0.529; The score of avoidance coping style was negatively correlated with total score of HPB and scores of physical activity, nutrition, stress management (P<0.01, P<0.05), and related coefficients were respectively-0.124,-0.155,-0.168,-0.148; The score of compromising coping style was negatively correlated with total score of HPB and scores of health responsibility, physical activity, nutrition, spiritual growth, interpersonal relations, stress management (P<0.01), and related coefficients were respectively-0.511,-0.399,-0.404,-0.474,-0.458,-0.464,-0.371.6. Multiple regressions were used to analyze the factors that influencing HPB and its dimensions. Per capita monthly income of family, disease course, confrontation coping style and self-esteem were predictive factors of HPB (R2=0.503). The number of complications, confrontation coping style, internal health locus of control and self-esteem were predictive factors of health responsibility (R2=0.465); confrontation coping style was the predictive factor of physical activity(R2=0.362); confrontation coping style, compromising coping style and self-esteem were predictive factors of nutrition (R2=0.354); confrontation coping style and self-esteem were predictive factors of spiritual growth (R2=0.346); per capita monthly income of family, confrontation coping style and compromising coping style were predictive factors of interpersonal relations (R2=0.277); per capita monthly income of family and confrontation coping style were predictive factors of stress management (R2=0.350).Conclusion:1. The general level of HPB of patients with CHD was on a good status, and we should strengthen health education of patients who are youth, old, with middle school and technical secondary school educational level, retired, rural residents, lived alone, with per capita income of family<￥1000monthly, at their own expense and joined in (?)he rural cooperative care system, with less than half a year disease course, with no complication, low weight and overweight in order to improve their positivity in the practice of HPB. 2. The main HLC of patients with CHD is powerful health locus of control, which is beneficial for patients’ health responsibility; and internal health locus of control is beneficial for patients’ health responsibility, physical activity, nutrition, spiritual growth, stress management and results in higher HPB; chance health locus of control is bad for patients’ health responsibility, physical activity, nutrition, spiritual growth, interpersonal relations, stress management and results in lower HPB.3. The general level of self-esteem of patients with CHD is in the middle level, the higher level of self-esteem is beneficial for patients to ameliorate health responsibility, physical activity, nutrition, spiritual growth, interpersonal relations, stress management and the total level of HPB.4. The main coping style of paients with CHD is confrontation coping style, wthic is beneficial for patients’ health responsibility, physical activity, nutrition, spiritual growth, interpersonal relations, stress management and the total level of HPB, and the compromising coping style is in contrast. And avoidance coping style is bad for patients’ physical activity, nutrition, stress management and the total level of HPB.5. Per capita monthly income of family, disease course, confrontation coping style and self-esteem had positive prediction for HPB. The number of complications, confrontation coping style, internal health locus of control and self-esteem had positive prediction for health responsibility; confrontation coping style had positive prediction for physical activity; confrontation coping style and self-esteem had positive prediction for nutrition and compromising coping style had negative prediction for it; confrontation coping style and self-esteem had positive prediction for spiritual growth; per capita monthly income of family and confrontation coping style had positive prediction for interpersonal relations and compromising coping style had had negative prediction for it; per capita monthly income of family and confrontation coping style had positive prediction for stress management. |
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