摘要
目的:分析经皮冠状动脉介入术(PCI)后患者应激压力的影响因素。方法:选取2021年12月至2023年3月于该院行PCI治疗的194例患者进行横断面研究,收集患者的临床资料,采用应激(压力)反应问卷(SRQ)评估应激压力,采用多元线性回归分析PCI术后患者应激压力的影响因素。结果:194例PCI术后患者SRQ评分平均为(87.08±11.37)分;不同性别、年龄、婚姻状况、居住地、职业、文化程度、独居、术前美国纽约心脏病协会(NYHA)心功能分级、吸烟史、饮酒史、服用药物种类患者的SRQ评分比较,差异均无统计学意义(P>0.05);家庭人均月收入<3000元、有冠心病家族史、合并症≥2种、支架植入数量≥3个、冠状动脉病变支数为多支患者的SRQ评分均高于其他类型患者,差异有统计学意义(P<0.05);多元线性回归分析结果显示,家庭人均月收入<3000元、有冠心病家族史、合并症≥2种、支架植入数量≥3个、冠状动脉病变支数为多支均为PCI术后患者应激压力高的危险因素(P<0.05)。结论:家庭人均月收入<3000元、有冠心病家族史、合并症≥2种、支架植入数量≥3个、冠状动脉病变支数为多支均为PCI术后患者应激压力高的危险因素。
Objective:To analyze influencing factors of stress in postoperative patients with percutaneous coronary intervention(PCI).Methods:A cross-sectional study was conducted on 194 patients who underwent PCI in the hospital from December 2021 to March 2023.The clinical data of these patients were collected.The stress(stress)response questionnaire(SRQ)was used to assess the stress.Multiple linear regression was used to analyze the influencing factors of stress in these postoperative patients with PCI.Results:The mean SRQ score of the 194 postoperative patients with PCI was(87.08±11.37).There were no significant differences in the SRQ scores among the patients with different gender,age,marital status,place of residence,occupation,education level,living alone,preoperative New York Heart Association(NYHA)cardiac function classification,smoking history,drinking history,and type of medication(P>0.05).The SRQ scores of the patients with family per capita monthly income<3000 yuan,family history of coronary heart disease,complications≥2,number of stent implantation≥3,and multiple coronary artery lesions were higher than those of other types of patients,and the differences were statistically significant(P<0.05).Multiple linear regression analysis showed that family per capita monthly income<3000 yuan,family history of coronary heart disease,complications≥2,number of stent implantation≥3,and multiple coronary artery lesions were all risk factors for stress in the postoperative patients with PCI(P<0.05).Conclusions:Family per capita monthly income<3000 yuan,family history of coronary heart disease,complications≥2,number of stent implantation≥3,and multiple coronary artery lesions are the risk factors for stress in the postoperative patients with PCI.
作者
常瑞珍
孙晓晶
CHANG Ruizhen;SUN Xiaojing(General Medical Department of Anyang District Hospital,Anyang 455000 Henan,China)
出处
《中国民康医学》
2024年第20期5-7,11,共4页
Medical Journal of Chinese People’s Health
关键词
经皮冠状动脉介入术
术后
应激压力
影响因素
Percutaneous coronary intervention
Postoperative
Stress
Influencing factor
