冠脉介入治疗术后患者疾病感知状况的调查分析  

Investigation on illness perceptions of patients undergoing percutaneous coronary intervention

作　　者：王菊[1] 张晓丽[1] 陈琪尔[2] 谭坚铃[2] 

机构地区：[1]滨州医学院护理学院内儿护理学教研室,滨州256603 [2]中山大学护理学院内科护理学教研室

出　　处：《滨州医学院学报》2013年第4期272-275,共4页Journal of Binzhou Medical University

摘　　要：目的调查冠脉介入治疗术(PCI)后患者的疾病感知状况。方法采用一般资料调查表、疾病感知问卷修订版对95例PCI术后患者进行问卷调查。结果①PCI术后患者的疾病感知得分:症状识别部分平均得分4.87±3.50;病情认知部分各维度平均得分由高到低依次是:病程(3.68±1.10)分,个人控制(3.59±0.83)分,治疗控制(3.54±0.65)分,疾病一致性(3.02±1.04)分,后果(2.79±0.87)分,情感陈述(2.24±0.86)分,周期性(1.92±1.06)分;疾病归因部分得分最高的前五位依次是食物或进食习惯、高血压、肥胖或超重、高血脂症、衰老。②病情认知各维度间存在相关关系。结论 PCI术后患者的症状识别能力较低,病情认知、疾病归因情况总体较好,但对冠心病疾病知识了解不够。医护人员应给予针对性的冠心病知识教育,提高症状识别水平及冠心病知识水平。Objective To describe the illness perception status of patients undergoing percutaneous coronary intervention （ PCI ）. Methods The questionnaire for general materials and the Revised Illness Perception Questionnaire were used to investigate 95 patients undergoing PCI. Results （~The average score of identity of patients undergoing PCI was 4. 87 ±3.50. In the part of illness representa- tion, average scores of seven subseales were listed from high to low as follows： Timeline （acute/chronic） 3.68 ±1.10, personal control 3.59 ±0. 83, treatment control 3.54 ±0. 65, illness coherence 3.02 ±1.04, consequences 2. 79 ±0. 87, emotional repesentation 2.24 ±0. 86,timeline cyclical 1.92 ±1.06. In the part of causes,five items with the highest scores were diet or eating habit,hypertention, obesity or overweight, hyperlipidcmia and aging. （1）Sevcral dimensions of illness representation were correlated with each other. Conclu- sion Identity of patients with CHD undergoing PCI was low generally. Their status of illness representation and disease attribution was good generally but they reported to have poor understanding of coronary heart disease. Health service staff should provide the patients with individualized education about coronary heart disease to improve their levels of identity and disease knowledge.

关 键 词：PCI 疾病感知 健康教育 

分 类 号：R473.5[医药卫生—护理学]