Status quo and influencing factors of self-management in readmitted patients with myocardial infarction

Abstract

Objective To investigate the correlation between self-efficacy, discharge readiness and self-management in readmitted patients with myocardial infarction, to explore the influencing factors to self-management and to provide a basis for intervention strategies in clinical practice. Methods Totally 198 readmitted patients with myocardial infarction from First Hospital of Shanxi Medical University were selected using convenient sampling from December 2017 to May 2018 and investigated with the general informational questionnaire, Coronary Heart Disease Self-Efficacy Questionnaire (CHDSEQ) , Discharge Readiness Scale (DRS) , and Coronary Heart Disease Self-Management Scale (CHDSMS) . Pearson correlation analysis and multivariate linear multilayer regression analysis were used to explore the influencing factors to self-management behavior. Results The CHDSMS score of the 198 patients was (75.21±9.31) , with a 63.12% scoring metrics; the CHDSEQ score was (50.91±10.43) ; the DRS score was (161.53±26.76) . Correlation analysis showed that self-efficacy was positively correlated with self-management (r=0.537, P<0.01) , and that discharge readiness was positively correlated with self-management (r=0.416, P<0.01) . Multilayer correlation analysis revealed that the two factors could account for 14.1% of the variance of self-management. Conclusions Medical and nursing workers should evaluate the discharge readiness of readmitted patients with myocardial infarction accurately, improve patients' self-efficacy, and provide effective discharge guidance for different groups according to relevant influencing factors, thus improving patients' self-management. Key words: Myocardial infarction; Self-efficacy; Discharge readiness; Self-management; Influencing factors