Study On The Relationship Of Health Promoting Behaviors, Hope And Coping In Coronary Heart Disease Patients After PCI

Coronary heart disease(CHD) not only threats to the health of residentsseriously but also causes tremendous economic burden to our health carespending.With the development of medical technology, percutaneous coronaryintervention(PCI) is considered to be the most effective treatment of CHD,for itsadvantages of security, reliability and minimally invasive treatment.The risk factorsof CHD after PCI always persist, therefore,CHD patients need to actively improvethe level of health promoting behaviors (HPB) after PCI. Previous studies showedthat hope and coping have a direct relationship with the prognosis of disease andquality of life. The current level of HPB is still not ideal, and the relationship withhope, coping in patients after PCI is unclear. Therefore,the study to determine theinfluence factors of level of HPB and the relationship with hope,coping in patientsafter PCI is necessary for clinical nurses to develop target strategies to improveoutcomes and the ability to return to society.ObjectivesTo describe the status of hope, coping and HPB in patients after PCI.To identifythe demographic and medical affecting factors for the health promotingbehaviors,and explore the relation between hope, coping,and HPB in postoperativepatients of PCI.To provide theoretical support for clinical care workers to improvelevel of HPB, achieve the goals that improve prognosis, promote the ability to returnto normal social life.Methods154patients who were accepted PCI less than1year in the tertiary hospital ofChangchun participated the survey that took convenience sampling method from January to December in2014. There are some distinctive parts in thequestionnaire:the first part is the general information questionnaire which concludedemographic and clinical data, then Health promotion lifestyle profile-II（HPLP-II）,Herth Hope Index（HHI）and Medical Coping Modes Questionnaire（MCMQ）. Using epidata3.1to establish a database,SPSS18.0software forstatistical analysis.Results1.The total average score of HPLP-II was(135.19±17.80), the overall level waswell,but the proportion of score in excellent level(excellent and well were1.9%、60.4%respectively),excise,health responsibility and spiritual growthdimensions(72.8%,48.7%,42.9%) was low.There was significant difference amongdifferent degree of education, working status,family income per month,weightclassification and discomfort or not after PCI groups (p<0.05).2.The average score of hope was(33.60±3.23),which was in a medium to higherlevel. There was no significant difference between different levels of hope fromdifferent subgroup of patients(p>0.05).3.The main coping style in the patients after PCI operation was the“confrontation”(84.4%),followed by “avoidance”(9.7%) then the “resignation” wasthe the least(5.8%). In addition to smoking groups was significantlydifferent(p<0.05), there was no significant difference in different groups of patientswith coping styles(p>0.05).4.There was significant difference among the total score of HPLP-II and sixdimensions with different levels of hope(p<0.01),there was also significantdifference among entry score of HPLP-II,health responsibility, stress management,interpersonal support,spiritual growth(p<0.01),no significant difference in nutritionand exercise (p>0.05),the level of hope and HPLP showed significant positivecorrelation (r=0.675,p<0.01),the coping styles and HPLP showed significant positivecorrelation too (rs=0.269,p<0.01).5.The multiple stepwise regression analysis showed that working status,the level of family income per month,discomfort or not after PCI,hope and copingwere the main factors of HPB in patients after PCI.Conclusion1.PCI patients in the level of HPB is still not ideal,especially in the exercise,health responsibility, and self-realization,there is still large space for improvement.2.Nurses should enhance the concern on hope and coping styles of patients,helppatients build confidence and hope to take the high level and the "face approach",toestablish a scientific habit of HPB.3.Effective interventions should be made according to the different workingstatus,family income per month,discomfort or not of individual patient after PCI,thelevel of hope and coping for patients with CHD after PCI, in order to further enhancethe ability of clinical nurses to carry out nursing education,to promote optimaloutcomes and return to normal social life.