再次行经皮冠状动脉介入治疗术后患者自我管理能力及其影响因素  

Self-management Ability of Patients Underwent Second Percutaneous Coronary Intervention Procedure and Its Influencing Factors

作　　者：丁飙[1] 周翌[2] 黄晓莉[2] 高美芳[2] 秦呈婷[2] 

机构地区：[1]上海交通大学附属第六人民医院护理部,上海200233 [2]上海交通大学附属第六人民医院心内科

出　　处：《解放军护理杂志》2016年第8期7-11,共5页Nursing Journal of Chinese People's Liberation Army

基　　金：上海交通大学医学院护理科研基金项目(JHY1308)

摘　　要：目的探讨再次行经皮冠状动脉介入治疗术后患者自我管理能力现状及其影响因素。方法 2014年6月至2015年12月,便利抽样法选取在上海某三级甲等医院心内科住院并再次行经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)术后1周内的冠状动脉硬化性心脏病(简称冠心病)患者130例为研究对象。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(61.45±10.28)分,得分率为45.52%。文化程度、月收入、吸烟年限、总胆固醇指标等是患者自我管理能力水平的主要影响因素(均P<0.05)。结论再次行PCI的术后患者自我管理能力呈偏下水平,并受多方面因素的影响,护理人员应加强对该类患者及家属的健康教育,制定有针对性的自我管理健康教育方案,为其进行长期的术后自我管理提供依据。Objective To discuss the current status of self-management ability of patients underwent second percutaneous coronary intervention（PCI）procedure and its influencing factors.Methods By convenience sampling,130 cases were selected and investigated by general scale and coronary heart disease self-management questionnaire.Results The total score of self-management was（61.45±10.278）,with score rate of45.52%.The self-management was affected by education background,monthly income,smoking,and cholesterol index（all P〈0.05）.Conclusion Self-management ability of patients with second PCI is in a low level and affected by multiple factors.Nursing staff should enhance the health education to caregivers,and set targeted self-management health education plan,thus to provide evidence for the long-term self-management.

关 键 词：经皮冠状动脉介入治疗 自我管理 影响因素 

分 类 号：R543.3[医药卫生—心血管疾病] R815[医药卫生—内科学]