急性冠脉综合征患者首次医疗接触延迟现状及影响因素分析  

Current condition of first medical contact delay in patients with acute coronary syndrome and analysis of its influencing factors

作　　者：龙春花 吴丝丝 李莎莎[1] 马士容[1] 涂雪梅[1] LONG Chun-hua;WU Si-si;LI Sha-sha;MA Shi-rong;TU Xue-mei(Department of Cardiology,Chongqing Three Gorges Central Hospital,Chongqing,404020,China)

机构地区：[1]重庆三峡中心医院心血管内科,重庆市404020

出　　处：《心血管康复医学杂志》2021年第3期264-268,共5页Chinese Journal of Cardiovascular Rehabilitation Medicine

基　　金：2018年度万州区科技计划项目(wzstc-2018005)。

摘　　要：目的:研究急性冠脉综合征(ACS)患者首次医疗接触(FMC)延迟的现状及其影响因素。方法:采用多中心抽样方法选择362例ACS患者,根据FMC时间,患者被分为未延迟组(230例,FMC<6h)和延迟组(132例,FMC≥6h)。收集比较两组一般资料、中文版急性冠脉综合征反应指数量表(C-ACSRI)评分、特质应对方式问卷(TCSQ)评分和领悟社会支持量表(PSSS)评分,分析ACS患者FMC延迟的影响因素。结果:与未延迟组比较,延迟组已婚(88.70%比77.27%)、收入>6000元(18.26%比7.58%)比例、PSSS评分[(59.66±16.60)分比(54.39±17.41)分]均显著降低,有住院经历比例(43.04%比54.55%)显著升高,P<0.05或<0.01。多因素Logistic回归分析显示,经济收入>6000元、已婚和社会支持得分是影响FMC延迟的独立保护因素(OR=0.483~0.985,P均<0.05)。结论:急性冠脉综合征患者首次医疗接触延迟受婚姻状况、经济收入和社会支持的影响。医务工作者应对患者及家属开展针对性的健康教育,提高患者社会支持,缩短患者首次医疗接触延迟时间。Objective:To study current condition of first medical contact(FMC)delay in patients with acute coronary syndrome(ACS)and its influencing factors.Methods:Multicenter sampling method was used to select 362 ACS patients.According to FMC time,patients were divided into no delay group(n=230,FMC<6h)and delay group(n=132,FMC≥6h).General data,scores of Chinese-acute coronary syndrome response index(C-ACSRI)scale,trait coping style questionnaire(TCSQ)and perceived social support scale(PSSS)were collected and compared between two groups,and influencing factors of FMC delay were analyzed in ACS patients.Results:Compared with no delay group,there were significant reductions in percentages of married(88.70%vs.77.27%),income>6000 RMB(18.26%vs.7.58%),PSSS score[(59.66±16.60)scores vs.(54.39±17.41)scores],and significant rise in percentage of in-hospital experience(43.04%vs.54.55%)in delay group,P<0.05 or<0.01.Multivariate Logistic regression analysis indicated that income>6000RMB,married and social support score were independent protective factors for FMC delay(OR=0.483~0.985,P<0.05 all).Conclusion:First medical contact delay in ACS patients is affected by marriage condition,economic income and social support.Medical workers should perform targeted health education on patients and family members,improve patients’social support,and shorten first medical contact delay time.

关 键 词：急性冠状动脉综合征 急救医疗服务 影响因素分析 

分 类 号：R542.209[医药卫生—心血管疾病]