生活及饮食习惯与急性心肌梗死患者健康素养的关系研究
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摘要
背景良好的健康素养有利于改善急性心肌梗死(AMI)患者生活质量及身体功能,而生活及饮食习惯与健康素养密切相关,因此探讨生活及饮食习惯与AMI患者健康素养的关系具有重要意义。目的探讨生活及饮食习惯与AMI患者健康素养的关系。方法选取2016—2017年承德医学院附属医院、白求恩国际和平医院收治的AMI患者120例,采用自制《AMI患者生活、饮食习惯调查表》调查其生活及饮食习惯,其中生活习惯包括吸烟、饮酒、运动、睡眠情况及体质量、血脂血糖、血压测量情况;饮食习惯包括粮谷类、糖类、蛋类、肉类摄入情况。采用《AMI患者健康素养调查问卷》调查所有患者健康素养。生活及饮食习惯与AMI患者健康素养的关系分析采用多因素Logistic回归分析。结果具备与不具备健康素养的AMI患者吸烟、饮酒、运动、睡眠情况,体质量、血糖血脂、血压测量情况及粮谷类、糖类、蛋类、肉类摄入情况比较,差异有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,吸烟、饮酒、运动、睡眠情况,体质量、血糖血脂、血压测量情况,粮谷类、糖类、蛋类、肉类摄入情况与AMI患者健康素养有关(P<0.05)。结论生活及饮食习惯与AMI患者健康素养有关,临床工作人员应帮助AMI患者提高健康素养,促使患者养成良好的生活及饮食习惯以改善生活质量、预后。
Background Good health literacy is helpful to improve the quality of life and physical function in patients with acute myocardial infarction(AMI),while living and eating habits are closely correlated with health literacy,thus it is of great significance to investigate the relations of living and eating habits with health literacy in patients with AMI.Objective To investigate the relations of living and eating habits with health literacy in patients with AMI. Methods From2016 to 2017,a total of 120 patients with AMI were selected as objects in the Affiliated Hospital of Chengde Medical College and Bethune International Peace Hospital. Self-made Questionnaire of Living and Eating habits for AMI was used to record the living habits(including smoking status,drinking status,exercise status,sleep quality,measurement of weight,blood lipid and glucose,blood pressure)and eating habits(taking of cereal grains,saccharides,eggs and meat),and Health Literacy Questionnaire for AMI was used to investigate the health literacy. Multivariate Logistic regression analysis was used to analyze the relations of living and eating habits with health literacy in patients with AMI. Results There was statistically significant difference of smoking status,drinking status,exercise status,sleep quality,measurement of weight,blood lipid and glucose,or blood pressure,taking of cereal grains,saccharides,eggs or meat was found in AMI patients owning health literacy or not,respectively(P<0.05). Multivariate Logistic regression analysis results showed that,smoking status,drinking status,exercise status,sleep quality,measurement of weight,blood lipid and glucose,and blood pressure,taking of cereal grains,saccharides,eggs and meat are statistically significantly correlated with health literacy in patients with AMI(P<0.05). Conclusion Living and eating habits are significantly correlated with the health literacy in patients with AMI,clinical staff should help AMI patients to improve the health literacy,cultivate good living and eating habits,thus to improve the quality of life and prognosis.
Background Good health literacy is helpful to improve the quality of life and physical function in patients with acute myocardial infarction(AMI),while living and eating habits are closely correlated with health literacy,thus it is of great significance to investigate the relations of living and eating habits with health literacy in patients with AMI.Objective To investigate the relations of living and eating habits with health literacy in patients with AMI. Methods From2016 to 2017,a total of 120 patients with AMI were selected as objects in the Affiliated Hospital of Chengde Medical College and Bethune International Peace Hospital. Self-made Questionnaire of Living and Eating habits for AMI was used to record the living habits(including smoking status,drinking status,exercise status,sleep quality,measurement of weight,blood lipid and glucose,blood pressure)and eating habits(taking of cereal grains,saccharides,eggs and meat),and Health Literacy Questionnaire for AMI was used to investigate the health literacy. Multivariate Logistic regression analysis was used to analyze the relations of living and eating habits with health literacy in patients with AMI. Results There was statistically significant difference of smoking status,drinking status,exercise status,sleep quality,measurement of weight,blood lipid and glucose,or blood pressure,taking of cereal grains,saccharides,eggs or meat was found in AMI patients owning health literacy or not,respectively(P<0.05). Multivariate Logistic regression analysis results showed that,smoking status,drinking status,exercise status,sleep quality,measurement of weight,blood lipid and glucose,and blood pressure,taking of cereal grains,saccharides,eggs and meat are statistically significantly correlated with health literacy in patients with AMI(P<0.05). Conclusion Living and eating habits are significantly correlated with the health literacy in patients with AMI,clinical staff should help AMI patients to improve the health literacy,cultivate good living and eating habits,thus to improve the quality of life and prognosis.
引文
[1]张院,宋小青,王丽丽.院外治疗依从性对急性心肌梗死患者长期预后及生存质量的影响研究[J].实用心脑肺血管病杂志,2017,25(2):30-33.DOI:10.3969/j.issn.1008-5971.2017.02.008.
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[10]周彤,周成超,唐碧,等.急性心肌梗死患者经皮冠状动脉介入术后自我管理水平的调查研究[J].蚌埠医学院学报,2016,41(1):126-129.DOI:10.13898/j.cnki.issn.1000-2200.2016.01.041.
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[13]EINDHOVEN D C,BORLEFFS C J,DIETZ M F,et al.Design and reliability of a specific instrument to evaluate patient safety for patients with acute myocardial infarction treated in a predefined care track:a retrospective patient record review study in a single tertiary hospital in the Netherlands[J].BMJ Open,2017,7(3):e014360.DOI:10.1136/bmjopen-2016-014360.
[14]张云雁,艾热夏提,顾颖,等.女性急性心肌梗死患者院内生存情况及危险因素分析[J].中华老年心脑血管病杂志,2017,19(7):720-724.DOI:10.3969/j.issn.1009-0126.2017.07.012.
[15]潘兴飞,郑常龙,邹小芳.急性心肌梗死患者院内并发心室颤动的危险因素分析[J].广东医学,2016,37(9):1308-1310.DOI:10.13820/j.cnki.gdyx.20160503.008.
[2]庄丽璇,韦瑞斌,林丽霞,等.急性心肌梗死患者生存质量现状及影响因素分析[J].岭南心血管病杂志,2016,22(6):727-730,735.DOI:10.3969/j.issn.1007-9688.2016.06.30.
[3]陈运起,李海丽.急性心肌梗死病人hs CRP、TNFα及血钾、血钠水平对预后的影响[J].中西医结合心脑血管病杂志,2016,14(23):2733-2737.DOI:10.3969/j.issn.1672-1349.2016.23.005.
[4]王亮,曾勇.高敏肌钙蛋白对心肌梗死诊断的意义[J].中华心脏与心律电子杂志,2017,5(2):87-89.
[5]高建步,李玉东,杨守忠.益心舒胶囊对急性心肌梗死后焦虑抑郁情绪及生活质量影响[J].世界中医药,2017,12(5):1068-1071.DOI:10.3969/j.issn.1673-7202.2017.05.030.
[6]周志堂,杨彬,李利华.粤北农村急性心肌梗死患者就诊延迟的原因分析[J].实用医学杂志,2016,32(21):3603-3606.DOI:10.3969/j.issn.1006-5725.2016.21.041.
[7]冯天保,李臻,袁百祥,等.环境温度对急性心肌梗死患者血小板活化的影响[J].中国心血管杂志,2017,22(5):343-346.DOI:10.3969/j.issn.1007-5410.2017.05.007.
[8]WANEZAKI M,WATANABE T,NISHIYAMA S,et al.Trends in the incidences of acute myocardial infarction in coastal and inland areas in Japan:The Yamagata AMI Registry[J].J Cardiol,2016,68(2):117-124.DOI:10.1016/j.jjcc.2015.08.015.
[9]孙妍蓓,陶源,刘必成,等.急性肾损伤在急性心肌梗死患者短期和长期预后中的预测作用[J].中华肾脏病杂志,2016,32(11):813-820.DOI:10.3760/cma.j.issn.1001-7097.2016.11.003.
[10]周彤,周成超,唐碧,等.急性心肌梗死患者经皮冠状动脉介入术后自我管理水平的调查研究[J].蚌埠医学院学报,2016,41(1):126-129.DOI:10.13898/j.cnki.issn.1000-2200.2016.01.041.
[11]刘红俊.30岁以下青年急性心肌梗死病因分析及护理对策[J].中西医结合心脑血管病杂志,2016,14(23):2842-2843.DOI:10.3969/j.issn.1672-1349.2016.23.041.
[12]梁普博,袁月荣,郑云龙,等.急性心肌梗死致心脏破裂的影响因素分析[J].海南医学,2016,27(22):3622-3624.DOI:10.3969/j.issn.1003-6350.2016.22.003.
[13]EINDHOVEN D C,BORLEFFS C J,DIETZ M F,et al.Design and reliability of a specific instrument to evaluate patient safety for patients with acute myocardial infarction treated in a predefined care track:a retrospective patient record review study in a single tertiary hospital in the Netherlands[J].BMJ Open,2017,7(3):e014360.DOI:10.1136/bmjopen-2016-014360.
[14]张云雁,艾热夏提,顾颖,等.女性急性心肌梗死患者院内生存情况及危险因素分析[J].中华老年心脑血管病杂志,2017,19(7):720-724.DOI:10.3969/j.issn.1009-0126.2017.07.012.
[15]潘兴飞,郑常龙,邹小芳.急性心肌梗死患者院内并发心室颤动的危险因素分析[J].广东医学,2016,37(9):1308-1310.DOI:10.13820/j.cnki.gdyx.20160503.008.