Abstract
Aims To explore risk factors for Coronary Heart Disease (CHD) in secondary prevention for patients with the disease in China.
Design Cross-sectional study.
Methods A two-stage sampling method was used (stratified sampling and systematic sampling). Patients who met WHO diagnostic criteria for CHD, had the capacity to give informed consent, and volunteered to participate were recruited from 5 districts in Hengyang city, Hunan province, China. Six instruments were used: A general sociodemographic questionnaire, Coronary Heart Disease Self-Management Scale, International Physical Activity Questionnaires, Chinese Eight-Item Morisky Medication Adherence Scale, Zung’s Self-Rating Anxiety Scale, and Sexual Health Questionnaires. Participants completed the questionnaires in person or via telephone. Single-factor correlation analysis, Pearson correlation analysis, and multiple linear regression analysis were carried out.
Results A total of 373 patients were recruited with a mean age of 66.25 years (standard deviation = 9.98). The mean score was 57.00 (14.23) for self-management, 5.41 (1.82) for medication adherence, 53.61 (9.26) for anxiety, 8.66 (3.18) for sexual knowledge, and 22.20 (9.68) for the needs for sexual health education. The median was 1563.90 MET-min/d for total energy consumption of physical activity. Self-management, physical activity, medication adherence, anxiety, and sexual health were significantly correlated with a range of demographic variables (age, gender, marital status, occupation, education levels, types of medical insurance, Personal monthly income, living arrangements) and illness-related variables (illness duration, number of hospital admissions, type of therapy, number of other chronic diseases, Cardiac Function Grading, and BMI).
Conclusion This research has showed the risk factors related to self-management skills, medication adherence, anxiety, physical activity, sexual knowledge, and the need for sexual health education in secondary prevention for patients with CHD. Health professionals play an important role in helping patients reduce risk factors for CHD to minimize its reoccurrence and mortality.
Design Cross-sectional study.
Methods A two-stage sampling method was used (stratified sampling and systematic sampling). Patients who met WHO diagnostic criteria for CHD, had the capacity to give informed consent, and volunteered to participate were recruited from 5 districts in Hengyang city, Hunan province, China. Six instruments were used: A general sociodemographic questionnaire, Coronary Heart Disease Self-Management Scale, International Physical Activity Questionnaires, Chinese Eight-Item Morisky Medication Adherence Scale, Zung’s Self-Rating Anxiety Scale, and Sexual Health Questionnaires. Participants completed the questionnaires in person or via telephone. Single-factor correlation analysis, Pearson correlation analysis, and multiple linear regression analysis were carried out.
Results A total of 373 patients were recruited with a mean age of 66.25 years (standard deviation = 9.98). The mean score was 57.00 (14.23) for self-management, 5.41 (1.82) for medication adherence, 53.61 (9.26) for anxiety, 8.66 (3.18) for sexual knowledge, and 22.20 (9.68) for the needs for sexual health education. The median was 1563.90 MET-min/d for total energy consumption of physical activity. Self-management, physical activity, medication adherence, anxiety, and sexual health were significantly correlated with a range of demographic variables (age, gender, marital status, occupation, education levels, types of medical insurance, Personal monthly income, living arrangements) and illness-related variables (illness duration, number of hospital admissions, type of therapy, number of other chronic diseases, Cardiac Function Grading, and BMI).
Conclusion This research has showed the risk factors related to self-management skills, medication adherence, anxiety, physical activity, sexual knowledge, and the need for sexual health education in secondary prevention for patients with CHD. Health professionals play an important role in helping patients reduce risk factors for CHD to minimize its reoccurrence and mortality.
| Original language | English |
|---|---|
| Journal | Journal of Clinical Nursing |
| Early online date | 27 Sept 2024 |
| Publication status | E-pub ahead of print - 27 Sept 2024 |
