The Contributions of Psychological Disposition and Risk Factor Status to Health Following Treatment for Coronary Artery Disease
The Contributions of Psychological Disposition and Risk Factor Status to Health Following Treatment for Coronary Artery Disease
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冠状动脉疾病治疗后心理倾向和危险因素状态对健康的影响
DOI：
10.1016/j.ejcnurse.2006.06.004
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发表时间：
2007
影响因子：
2.9
通讯作者：
M. Bond
中科院分区：
文献类型：
--
作者：
S. Moore;Kirsty N. Prior;M. Bond
背景：冠心病治疗后的成功调整与心理倾向和危险因素状态有关。考虑这些变量之间的相互作用，需要更好地承认他们的关系与health outcome.Aims：为了确定自我效能和控制点的显着性一般自我评价的健康和当前的心脏健康，相对于危险因素的状态。为了确定自我效能感是否是一个更显着的预测健康状况比locus of control.Methods：男性（n= 248）在过去3年中治疗的冠状动脉疾病单独或心肌梗死完成了一份问卷调查，其中临床，风险因素（风险因素的知识，目前的风险因素，风险因素的变化），心理（自我效能感，控制点）和健康信息were searched.Results：自我效能感和内部控制点有直接和间接的影响健康的模型中，风险因素的知识被视为潜在的调解人。当将当前的危险因素或危险因素的变化作为潜在的介质进行检查时，这种结果模式并不明显。在模型中，自我效能被认为是一个潜在的调解人的控制点的预测健康状况，自我效能被确定为更相关的心理construction.Conclusion：一致的积极协会之间获得自我效能，认知风险因素的状态和健康建议，参与心脏康复的卫生专业人员应鼓励量身定制的干预措施，让患者既提高他们的理解CAD，也发展更大的自信心，在他们的能力，实施所获得的知识。
Background:Successful adjustment following treatment for coronary artery disease is related to both psychological disposition and risk factor status. Consideration of the interplay between these variables is required to better acknowledge their relationship with health outcome.Aims:To determine the salience of self-efficacy and locus of control to both general self-rated health and current cardiac health, relative to risk factor status. To determine whether self-efficacy is a more salient predictor of health status than locus of control.Methods:Men (n= 248) treated in the previous 3 years for either coronary artery disease alone or a myocardial infarction completed a questionnaire in which clinical, risk factor (knowledge of risk factors, current risk factors, change in risk factors), psychological (self-efficacy, locus of control) and health information were sought.Results:Self-efficacy and internal locus of control had both direct and indirect influences on health in the models in which knowledge of risk factors was treated as the potential mediator. This pattern of results was not evident when either current risk factors or change in risk factors were examined as potential mediators. In the models in which self-efficacy was considered as a potential mediator of locus of control in the prediction of health status, self-efficacy was determined to be the more relevant psychological construct.Conclusion:The consistent positive associations obtained among self-efficacy, cognitive risk factor status and health suggest that health professionals involved in cardiac rehabilitation should be encouraged to tailor interventions that allow patients to both improve their understanding of CAD and also to develop greater self-confidence in their ability to implement the acquired knowledge.
影响因子：
5
作者：
Idler, EL;Benyamini, Y
通讯作者：
Benyamini, Y
DOI：
10.1093/geronb/53b.6.s336
发表时间：
1998-11-01
影响因子：
6.2
作者：
Wolinsky, FD;Tierney, WM
通讯作者：
Tierney, WM