经皮冠状动脉支架植入术后患者自我管理能力现状分析  

Analysis of self-management status of patients after percutaneous coronary intervention with stent implantation

作　　者：丁飚[1] 吴俊青[2] 杨宏琳 张彩虹[1] 庄国红[1] 丁力[1] 曹洁[1] 洪雯[1] 

机构地区：[1]上海交通大学附属第六人民医院,上海200233 [2]上海市计划生育科学研究所,上海200032

出　　处：《上海护理》2016年第2期17-23,共7页Shanghai Nursing

基　　金：上海交通大学医学院护理科研基金项目(JHY1308)

摘　　要：目的调查398名经桡动脉行经皮冠状动脉支架植入术后患者自我管理能力现状并进行影响因素分析。方法采用冠心病自我管理行为量表和一般资料调查表,于2013年6月—2015年6月对398名在上海交通大学附属第六人民医院行经桡动脉经皮冠状动脉支架植入术后1周内的患者进行调查。结果 398名患者自我管理能力总分为(74.42±16.55)分,得分率为55.13%。自我管理行为受性别、年龄、职业、居住地、家庭月收入、是否吸烟及平均每天吸烟量、是否有高血压及介入治疗次数等因素的影响。结论 398名经桡动脉行经皮冠状动脉支架植入术后患者自我管理能力呈中等偏下水平,并受多方面因素的影响。护理人员应关注患者的术后生活方式,加强健康教育指导,制定有针对性的自我管理健康教育方案,以促进患者自我管理行为的有效实践。Objective To investigate the self-management status of patients after percutaneous coronary intervention with stent implantation,and to analyze the influencing factors. Methods From June 2013 to June2015,the self-management questionnaire about coronary heart disease and demographic questionnaire were used to investigate 398 patients from Shanghai Sixth People＇s Hospital,Shanghai Jiao Tong University one week after stent implantation. Results The total score was 74. 42 ± 16. 55,with a scoring rate of 55. 13%. The selfmanagement ability was influenced by gender, age, occupation, dwelling area, monthly family income,smoking,average daily cigarette number,hypertension and number of interventional treatment. Conclusion The level of self-management of 398 patients after percutaneous coronary intervention with stent implantation is below average. There are various influencing factors. The nursing staff should pay attention to the patient lifestyle after percutaneous coronary intervention and strengthen patient education,in order to provide theoretic basis for setting up targeted self-management protocol and promote effective practice in patient self-management.

关 键 词：经皮冠状动脉介入术 问卷调查 自我管理 影响因素 

分 类 号：R473.5[医药卫生—护理学]