冠心病患者PCI术后恢复性生活需求及影响因素研究  

Study on the needs and the influencing factors of sex life after percutaneous coronary intervention in patients with coronary heart disease

作　　者：王红[1] 许红凤 张茜茜[1] Wang Hong;Xu Hongfeng;Zhang Qianqian(Coronary Care Unit,Beijing Chaoyang Hospital Affiliated to Capital Medical University,Beijing 100020,China)

机构地区：[1]首都医科大学附属北京朝阳医院冠心病监护室,北京100020

出　　处：《护理学杂志》2020年第12期23-26,共4页Journal of Nursing Science

摘　　要：目的了解中青年冠心病患者经皮冠状动脉介入治疗(PCI)术后对恢复性生活的健康信息需求及其影响因素。方法采用自行设计的一般资料问卷、性生活调查问卷及PCI术后恢复性生活健康信息需求问卷对221例PCI术后中青年患者进行调查。结果218例(98.64%)希望能够得到PCI术后恢复性生活的健康信息指导,152例(68.78%)对术后恢复性生活存在顾虑,127例(57.47%)认为患者与配偶双方均应该接受健康信息指导,患者最希望接受的健康信息指导方式为文字资料介绍(137例,61.99%)和微信推送(129例,58.37%)。对恢复性生活的健康信息需求总分为38.91±5.28。PCI术后性生活的危险程度、PCI术后性生活的注意事项、PCI术后性生活对心脏的影响是需求程度最高的3个条目。多元回归分析结果显示,年龄、支架植入数目、入院原因、心功能分级、职业是影响患者PCI术后恢复性生活的健康信息需求的影响因素(P<0.05,P<0.01)。结论中青年冠心病患者PCI术后对恢复性生活的健康信息需求较高。医护人员应该加强对年龄较轻、支架植入数多、心功能差、职业为一般职员的患者针对性的性生活健康信息指导,帮助其术后恢复性生活,提高生活质量。Objective To explore the needs and the influencing factors of sex life after percutaneous coronary intervention in young and middle-aged patients with coronary heart disease.Methods Convenient sampling was used to recruit 221 patients who had received percutaneous coronary intervention.The patients were asked to filled out the self-designed general data questionnaire,the Sex Life Questionnaire and the Sex-Life-Related Health Information Needs Questionnaire.Results Totally,218 patients(98.64%)expected to get health information guidance for sex life after PCI,152(68.78%)had concerns about post PCI sex life recovery,and 127(57.47%)believed that both patients themselves and spouses should receive health information guidance.The most accepted method to receive health information guidance included written materials and WeChat-based news feed.The total score of sex-life-related health information needs of young and middle-aged patients after PCI was 38.91±5.28.Items of"the risk of sex life after PCI","the precautions of sex life after PCI"and"the impact of sex life after PCI on the heart"topped the needs chart.Multiple linear regression analysis showed that,age,the number of stents,reasons for hospitalization,heart function classification,type of jobs were major predictors of the score of sex-life-related health information needs of young and middle-aged patients(P<0.05,P<0.01).Conclusion Young and middle-aged patients with coronary heart disease have strong needs about sex life after PCI.Medical staff should pay more heed to patients who are younger,have more stent implants,have poor cardiac function,and who work a regular job,and give targeted guidance of sex-life-related health information,in an effort to help them restore sex life after PCI,and improve their quality of life.

关 键 词：冠心病 中年 青年 经皮冠状动脉介入治疗 性生活 健康信息需求 健康教育 

分 类 号：R473.5[医药卫生—护理学]