摘要
目的了解首次行经皮冠状动脉介入治疗(PCI)术后患者自我管理行为现状,并分析其影响因素,为提高首次行PCI术后患者的自我管理行为提供科学依据。方法采用便利抽样法选取2017年11月～2018年3月山西某三级甲等医院心血管内科收治的160例首次行PCI患者作为研究对象,采用一般资料调查表和冠心病自我管理行为量表对其进行调查。结果患者的自我管理能力总分为(70.97±13.99)分,得分率为52.57%,处于中等偏下水平。患者不同年龄、教育程度、收入水平、从事职业、吸烟、饮酒、合并高血压及糖尿病情况下的自我管理行为得分比较,差异有统计学意义(P<0.05)。多元线性回归分析显示,年龄、教育程度、吸烟及收入水平均是影响首次行PCI患者自我管理的独立危险因素(P<0.05)。结论首次行PCI术后的患者自我管理行为呈中等偏下水平,并受多方面因素的影响。
Objective To understand the status of self-management behavior of patients after first-time percutaneous coronary intervention (PCI),and to analyze the influencing factors,so as to provide a scientific basis for improving the self-management behavior of patients after the first-time PCI. Methods A convenient sampling method was used to select 160 patients who underwent the PCI for the first time from November 2017 to March 2018 admitted to the department of cardiovascular medicine of a tertiary hospital in Shanxi province. The general data questionnaire and the self-management behavior scale for coronary heart disease were used to investigate the patients. Results The total score of self-management ability of patients was (70.97±13.99) points,and the scoring rate was 52.57%,which was at the middle-lower level. There were statistically significant differences in the scores of self-management behaviors among patients with different ages,education,income,occupation,smoking,alcohol consumption and complicated with hypertension and diabetes (P<0.05). Multiple linear regression analysis showed that age,education,smoking and income levels were independent risk factors for self-management of patients underwent the PCI for the first time (P<0.05). Conclusion After the first-time PCI operation,the self-management behaviors of the patients are below medium level and affected by many factors.
作者
王利娜
谢仙萍
马燕
WANG Li-na;XIE Xian-ping;MA Yan(School of Nursing,Shanxi University of Chinese Medicine,Shanxi Province,Taiyuan 030024,China)
出处
《中国当代医药》
2019年第8期172-176,共5页
China Modern Medicine
关键词
经皮冠状动脉介入治疗
自我管理
影响因素
Percutaneous coronary intervention
Self-management
Influence factors
