老年PCI术后康复特点及健康管理干预  

Characteristics and Health Management Intervention of Cardiac Rehabilitation in Elderly Patients after PCI

作　　者：傅文婷[1] 蔺茹[1] FU Wenting;LIN Ru(Endoscopy Center,Gansu Provincial Maternity and Child-care Hospital,Lanzhou 730000)

机构地区：[1]甘肃省妇幼保健院内镜中心,兰州730000

出　　处：《解放军医院管理杂志》2021年第6期561-564,共4页Hospital Administration Journal of Chinese People's Liberation Army

摘　　要：目的探究老年冠心病患者PCI术后心脏康复的动机特点,提升患者康复管理效率。方法采用前瞻性研究设计,选择2019年2月到2020年2月至某院心脏康复中心的180名老年患者,问卷调查其首次、第三个月以及第六个月参与心脏康复时的行为、服药、戒烟、体力活动和健康饮食动机及主观健康水平。结果首次参与时心脏康复行为自主性得分15.87±3.11分,过程焦虑得分14.22±3.17分,结果焦虑得分7.69±2.41分,服药信念得分2.81±4.07分,戒烟动机得分52.79±6.56分,体力活动动机得分49.18±5.09分,健康饮食动机得分59.75±8.89分,主观健康得分3.16±0.99分。在时间效应上,心脏康复自主性(F=16.52,P<0.01)、服药信念(F=46.77,P<0.01)、戒烟动机(F=19.35,P<0.01)、体力活动动机(F=42.92,P<0.01)以及主观健康水平(F=27.53,P<0.01)随参与时间增加得分逐渐增高,心脏康复过程焦虑(F=7.72,P<0.05)、结果焦虑(F=4.22,P<0.05)随参与时间增加得分逐渐降低。结论通过分析老年冠心病患者PCI术后心脏康复的动机特点,为提高心脏康复利用率、提升患者康复管理效率提供实践依据。Objective To investigate the motivational characteristics of cardiac rehabilitation in elderly patients with coronary heart disease after PCI,so as to improve the efficiency of patient rehabilitation management.Methods A prospective study design was adopted,and a total of 180 elderly patients after PCI were selected in department of cardiac rehabilitation from February 2019 to February 2020.Results When the patient participated in cardiac rehabilitation for the first time,the autonomic rehabilitation score was 15.87±3.11,the process anxiety score was 14.22±3.17,the outcome anxiety score was 7.69±2.41,the medication beliefs score was 2.81±4.07,and the smoking cessation motivation score was 52.79±6.56.Physical activity motivation score was 49.18±5.09 points,healthy eating motivation score was 59.75±8.89 points,and subjective health score was 3.16±0.99 points.In terms of time effects,autonomic of cardiac rehabilitation(F=16.52,P<0.01),belief in taking medication(F=46.77,P<0.01),motivation to quit smoking(F=19.35,P<0.01),and motivation for physical activity(F=42.92,P<0.01)and subjective health level(F=27.53,P<0.01)gradually increased with increasing participation time,anxiety during cardiac rehabilitation(F=7.72,P<0.05),and result anxiety(F=4.22,P<0.05)gradually decreases with increasing participation time.Conclusion By analyzing the motivation characteristics of cardiac rehabilitation in elderly patients with coronary heart disease after PCI,it provides a practical basis for improving the utilization rate of cardiac rehabilitation and improving the efficiency of patients’rehabilitation management.

关 键 词：PCI 冠心病 心脏康复 动机分析 主观健康 

分 类 号：R197.32[医药卫生—卫生事业管理]