摘要
[目的]了解冠心病经皮冠状动脉介入治疗(PCI)术后病人健康商数及治疗依从性现状,探讨二者之间的关系。[方法]便利抽样法选取衡阳市三级甲等医院心内科共192例冠心病PCI术后病人,采用一般资料调查问卷、简要健康商数指数测评20题问卷、冠状动脉介入术后病人治疗依从性问卷进行调查。[结果]192例冠心病PCI术后病人健康商数得分(59.92±10.55)分;40.1%的病人服药依从性好,79.2%的病人没有按要求复查冠状动脉造影,48.4%的病人没有按要求进行运动试验,生活方式依从性中,67.7%的病人仍未控制高脂饮食的摄入,53.6%的病人未控制好体重,79.2%的病人运动依从性差;相关性分析显示健康商数与治疗依从性的3个维度呈正相关。[结论]冠心病PCI术后病人健康商数水平低,从而治疗依从性差,需进一步制定干预方案提高病人健康商数,从而促进病人的治疗依从性。
Objective:To investigate the health quotient and treatment compliance of patients with coronary heart disease(CHD) after percutaneous coronary intervention(PCI),and to explore the relationship between them.Methods:A total of 192 patients with CHD after PCI in Hengyang third class A level hospital were selected by convenient sampling.The general data questionnaire,brief health quotient index questionnaire and treatment compliance questionnaire were used to investigate the patients.Results:The score of health quotient was(59.92±10.55) in 192 patients with CHD after PCI.40.1% of the patients had good medication compliance.79.2% of the patients did not undergo reexamination of coronary angiography as required.48.4% of the patients did not perform the exercise test as required.In lifestyle compliance,67.7% of the patients still did not control the intake of high-fat diet.53.6% of the patients did not control their body weight.79.2% of the patients had poor exercise compliance.Correlation analysis showed that health quotient was positively correlated with the three dimensions of treatment compliance.Conclusion:The level of health quotient of patients with CHD after PCI is low,which results in poor compliance with treatment.Further intervention programs need to be developed to improve the patient′s health quotient to promote treatment compliance.
作者
刘娟
何平平
胡莉芝
苏慧慧
杨娇
刘雅婷
刘颖
王文爽
贾优
欧阳新平
LIU Juan;HE Pingping;HU Lizhi;SU Huihui;YANG Jiao;LIU Yating;LIU Ying;WANG Wenshuang;JIA You;OUYANG Xinping(School of Nursing,University of South China,Hunan 421001 China;The First Affiliated Hospital of University of South China,Hunan 421001 China)
出处
《全科护理》
2019年第34期4237-4240,共4页
Chinese General Practice Nursing
基金
湖南省自然科学青年基金,编号:2018JJ3455
湖南省教育厅优秀青年项目,编号:18B274
南华大学高层次引进人才(含在职取得博士学位)科研启动基金,编号:28
南华大学分子靶标新药研究协同创新中心研究生创新性实验计划,编号:0223-0002-00033
关键词
冠心病
经皮冠状动脉介入治疗
健康商数
治疗依从性
coronary heart disease
percutaneous coronary intervention
health quotient
treatment compliance
