潮汕地区冠心病患者经皮冠状动脉介入治疗后自我管理现状及相关因素分析  

Analysis of the status and related factors of self-management in patients with coronary heart disease after percutaneous coronary intervention in Chaoshan area

作　　者：孙曼珊 刘智利[2] 张红[3] SUN Manshan;LIU Zhili;ZHANG Hong(Department of Nursing,Shantou University Medical College,Shantou 515041,China;Coronary Care Unit,the First Affiliated Hospital of Shantou University Medical College,Shantou 515041,China;Department of Nursing,the First Affiliated Hospital of Shantou University Medical College,Shantou 515041,China)

机构地区：[1]汕头大学医学院护理系,广东汕头515041 [2]汕头大学医学院第一附属医院CCU,广东汕头515041 [3]汕头大学医学院第一附属医院护理部,广东汕头515041

出　　处：《汕头大学医学院学报》2020年第4期251-254,共4页Journal of Shantou University Medical College

摘　　要：目的:探讨潮汕地区冠心病患者经皮冠状动脉介入治疗(PCI)后自我管理现状及其相关因素。方法:本横断面调查的研究对象选自2019年9月—2020年10月在潮汕地区某三级医院胸痛中心进行PCI术治疗的300例冠心病患者,采用一般情况问卷、冠心病自我管理行为量表及医院焦虑抑郁量表进行调查,通过多元线性回归分析PCI术后自我管理行为的相关因素。结果:患者自我管理行为实际得分为(67.85±6.46)分,得分指标为50.26%。患者焦虑及抑郁状态与自我管理行为呈负相关,相关系数r分别为-0.631、-0.208。多因素回归分析显示文化程度、家庭月均收入、合并症、吸烟、再次住院是影响患者PCI术后自我管理水平的相关因素(P<0.05)。结论:潮汕地区冠心病患者自我管理行为得分处于中低水平。影响冠心病PCI术后患者自我行为管理能力的可能因素主要有文化程度、合并症、吸烟情况、家庭月均收入及再次住院。Objective: To investigate the status of self-management and related factors in patients with coronaryheart disease after percutaneous coronary intervention(PCI) in Chaoshan area. Methods: The subjects of thiscross-sectional survey were selected from 300 patients with coronary heart disease who underwent PCI in a chestpain center of a tertiary hospital in Chaoshan area from September 2019 to October 2020. The General SituationQuestionnaire, Coronary Artery Disease Self-Management Scale, and Hospital Anxiety and Depression Scale wereused for surveys. The scale and hospital anxiety and depression scale were investigated, and the related factors ofself-management behavior after PCI were analyzed by multiple linear regression. Results: The average score ofthe patient’s self-management behavior was(67.85±6.46) points, the score index was 50.26%. Patients’anxietyand depression status were negatively correlated with self-management behavior, and the correlation coefficients r were-0.631 and-0.208, respectively. Multivariate regression analysis showed that education level, averagemonthly family income, complications, smoking, and hospital readmission were related factors that affected theself-management level after PCI(P<0.05). Conclusion: The scores of self-management behaviors of patients withcoronary heart disease in Chaoshan area are at a low level. The possible factors that affect the self-managementability of patients with coronary heart disease after PCI are mainly education level, complications, smoking status,family monthly income and hospital readmission.

关 键 词：冠心病 经皮冠状动脉介入治疗 自我行为管理 相关因素 潮汕地区 

分 类 号：R473.5[医药卫生—护理学]