The relationship between self-management with health locus of control and copy style among coronary heart disease patients complicated with heart failure

Objective To describe the relationship between self-management with health locus of control and copy style among coronary heart disease patients complicated with heart failure and to provide a basis for the targeted interventions. Methods From May, 2015 to November, 2016, totally 152 patients were invited to complete demographic questionnaire, coronary heart disease self-managements scale, multidimensional health locus of control scale, and medical coping modes questionnaire. Results The average score of self-management was 58.90±10.19, at moderate level. IHLC, DHLC, OHLC and confronce have a positive correlation with self-management, and the correlation coefficient was 0.498, 0.263, 0.310 and 0.525 respectively (P<0.05); CHLC, avoidance and resignation have a negative correlation with self-management, and the correlation coefficient was -0.250, -0.248 and -0.468 respectively (P<0.05). Conclusion Self-management among coronary heart disease patients complicated with heart failure was not optimistic and it needs more attention. Nurses can do more targeted health education based on health locus of control and copying style, improve patients' IHLC level and provide more knowledge of disease rehabilitation to patients. They also need encourage patients to take a positive coping style and teach patients how to do and explain the importance of the behavior. Besides, nurses need to pay attention to the changes of attitude of patients, establish confidence of rehabilitation, and improve self-management behavior finally.