Relationships Between Health Value Or Perceived Control Of Health And Health-promoting Lifestyles In Patients Undergoing Percutaneous Coronary Intervention

Background: Percutaneous Coronary Intervention (PCI) is the most common form of revascularization treatment for coronary heart disease (CHD), the procedure, however, offers palliative treatment and doesn't correct or alter the progression of CHD. Management of the pathologic progression of the disease and prevention of restenosis require pursuing a health lifestyle, but the patients undergoing PCI may feel cured and thus may not take cardiac recovery seriously which includes engaging health-promoting lifestyle. Also, some reports suggest health value and perceived control of health are determinants of health-promoting lifestyle. However, there are few studies that have focused on health promoting lifestyle, correlation between health-promoting lifestyle and health value as well as perceived control of health in patients recovering from PCI in China.Objective: (1) To describe the health-promoting lifestyle, health value and perceived control of health of the patients undergoing PCI; (2) To explore correlation between health-promoting lifestyle and heath value or perceived health control.Methods: A convenience sample of 190 patients who had undergone PCI in the previous 1-6months was selected. Five instruments were used to collect data: (1) The demographic form; (2) Health-Promoting Lifestyle Profile II (HPLPII); (3) Specific health promoting lifestyle questionnaire for the patients undergoing PCI; (4) Health Value Scale (HVS); (5) Multidimensional Health Locus of control Scale (MHLC).Results: (1) The average score of health-promoting lifestyle among patients undergoing PCI was 2.51±0.15; patients scored highest on the subscales of nutrition and interpersonal support, lowest on self-actualization and stress management as well as in the middle range on health responsibility and exercise. Also, the average score of specific health-promoting lifestyle was 3.31±0.40; (2) Average score of health value was 8.47±1.56; (3) The score of Powerful Others Externality (PHLC) is highest, then Internality (IHLC) and Chance externality (CHLC); (4) Individual characteristics including education, income, the number of stent and age had direct effects on health-promoting lifestyle according to multiple regression analysis; (5) Health value was not a determinant of health-promoting lifestyle, although there was positive correlation between them; (6) PHLC and IHLC were found to be significant contributors to the regression. However, CHLC was not a determinant of health-promoting lifestyle, though there was negative correlation between them.Conclusions: The level of health promoting lifestyle was middle; subjects scored highest in nutrition and lowest in stress management among the six dimensions of HPLP II. The level of specific health promoting lifestyle was high. The patients with lower educational level, lower income, less stent intervened and the younger leaded lower health promoting lifestyles. Health value was not a contributor to the regression although there was correlation between it and health-promoting lifestyle. PHLC and IHLC were significant contributors of health promoting lifestyle, but CHLC was not even though there was negative correlation between them...