The Relationship Between Self-efficacy, Coping Modes, Anxiety And The Quality Of Life In Community-dwelling Patients With Coronary Heart Disease

Objectives:To analyze the relationship of self-efficacy, coping modes, anxiety and the quality of life in patients with coronary heart disease (CHD) in Jinan and improve the quality of life in patients with coronary heart disease.Methods:Patients with coronary heart disease registered from Jan.2014 to Jan.2015 in four community health service centers in Jinan were recruited. With the general data questionnaire and general self-efficacy scale (GSES), medical coping modes questionnaire (MCMQ), self rating anxiety scale (SAS) and health status questionnaire(the medical outcomes study short form(MOS SF-36), equivalent of research subjects were investigated. SPSS20.0 was used to analyze the results descriptively, t-test, x2-test, Pearson correlation analysis,multiple regression analysis, then analyze the correlation of patients with coronary heart disease (CHD) general self-efficacy, medical coping modes, anxiety and the quality of life.Results:1. The average age of the patients was 69.67±8.64. The score of RP, PF, GH, BP, SF, VT and RE of QOL among patients with CHD was significantly lower than that of general population(P<0.01).2. The score of self-efficacy in CHD patients was lower than that of the norm(P< 0.01), and positively correlated with RP, GH, VT, MH of QOL.3. The scores of MCMQ (Confrontation, Avoidance, Acceptance-Resignation) were significantly higher than the norms(P<0.01). "Confrontation" was positively correlated with PF, GH, SF, VT, MH and RE of QOL, while Acceptance-Resignation was negatively with GH, SF, MH and RE of QOL(P<0.01).4. The score of SAS among CHD patients was 42.98±7.21,which was significantly higher than the norm(P< 0.01). Anxiety symptoms were mild in all types of patients, mainly for asymptomatic and mild symptoms. The score of SAS was negatively with RP, PF, GH, BP, SF, MH and RE of QOL with statistical significance(P< 0.01).5. Family history, complication, monthly income, the duration, hospitalization times affected the score for physical health dimension of QOL. And Family history, smoking history, complication, monthly income, the duration, hospitalization times, diagnosis affected the score for mental health of QOL.6.Multiple regression analysis found that monthly income of more than 3000, the duration more than 10 years, self-efficacy and anxiety affected the score for physical health dimension of QOL in community patients with CHD. And monthly income of more than 3000, the duration of 5-10 years and more than 10 year s, acute coronary syndrome, self-efficacy, anxiety affected the score for mental health dimension of QOL in community patients with CHD. Conclusions:1. The QOL of community patients with CHD belongs to the lower level, mainly focusing on RP, PF, GH, BP, SF, VT and RE.2. The general self-efficacy of community patients with CHD was in low level. The main coping modes of community patients with CHD is confrontation. The anxiety was found in community patients with CHD.3.The relationship of patients with coronary heart disease in community is closely related. The higher self-efficacy, the higher the quality of life of patients. Confrontation was positively correlated with QOL, while Acceptance-Resignation was negatively correlated with it. The more anxiety, the lower QOL of patients. Interventions on self-efficacy, coping modes, and anxiety might improve the QOL in community patients with CHD.4. Family history, complication, monthly income, the duration, hospitalization times affected the score for physical health dimension of QOL. And Family history, smoking history, complication, monthly income, the duration, hospitalization times, diagnosis affected the score for mental health dimension of QOL.5. Multiple regression analysis found that monthly income of more than 3000, the duration more than 10 years, self-efficacy and anxiety affected the score for physical health dimension of QOL in community patients with CHD. And monthly income of more than 3000, the duration of 5-10 years, more than 10 years, acute coronary syndrome, self-efficacy, anxiety affected the score for mental health dimension of QOL in community patients with CHD.