Analysis of self-efficacy and its influencing factors in patients with coronary heart disease after interventional therapy

Abstract

Objective To investigate the self-efficacy level of patients with coronary heart disease after interventional therapy and its influencing factors. Methods A total of 130 patients with coronary heart disease who received PCI in this hospital from January 2017 to March 2018 were selected for the study.Questionnaires were used to conduct research and research tools: self-made general condition questionnaires, Chinese version of rational drug self-efficacy scale and coronary heart disease diet self-efficacy scale. Results A total of 130 questionnaires were distributed in this survey, of which 126 were valid, and the recovery rate was 96.92%. The average score of Chinese version of rational use self-efficacy scale was (19.28±5.13) points, and the average score of dietary efficacy scale for coronary heart disease was (39.85±6.47) points.The results of single factor analysis showed that the score of Chinese version of rational drug use self-efficacy scale was related to gender, occupational status, residence, family monthly income, education level, smoking history, drinking history and exercise status, and the difference was satistically significant (P<0.05). The score of the diet self-efficacy scale for coronary heart disease and gender, occupational status, residence, family, and family monthly income, education level and drinking history were related, and the differences were satistically significant (P<0.05). The results of multi factor analysis showed that gender, education level and sports condition were independent factors of self-efficacy of rational drug use after coronary intervention.Family monthly income, education level and drinking history were the independent factors of healthy diet self-efficacy after coronary intervention, and the differences were satistically significant (P<0.05). Conclusions There is still much room for improvement in safe medication and healthy diet self-efficacy after interventional treatment of coronary heart disease. Reasonable medication self-efficacy is mainly related to gender, education level, and exercise conditions. Healthy eating self-efficacy is mainly related to family monthly income. Self-efficacy of healthy diet is mainly related to family monthly income, education level and drinking history.The intervention of the above factors should be strengthened clinically. Key words: Coronary heart disease; Intervention therapy; Reasonable medication; Healthy diet; Self-efficacy