社区主要不良心脏事件高危者院前延迟行为意向调查  

Investigation of pre-hospital delay behavior intention among high-risk patients of major adverse cardiac events in the community

作　　者：黎晓艳 华先妹 陈爱英 蔡亚秀 邹继华 高井全 陶然 王钰 李玉双 Li Xiaoyan;Hua Xianmei;Chen Aiying;Cai Yaxiu;Zou Jihua;Gao Jingquan;Tao Ran;Wang Yu;Li Yushuang(Department of Nursing,Medical Clinic of Lishui University,Lishui 323000,China)

机构地区：[1]丽水学院医学院护理系,浙江丽水323000 [2]丽水市莲都区白云街道卫生服务中心 [3]义乌市妇幼保健院 [4]丽水学院医务室

出　　处：《护理学杂志》2022年第7期82-85,共4页Journal of Nursing Science

基　　金：2021年丽水市公益技术研究项目(2021GYX27);2020年浙江省自然科学基金/探索项目Q(LQ20G030005);2018年浙江省自然科学基金项目(LY18G030016)。

摘　　要：目的 了解社区主要不良心脏事件高危者院前延迟行为意向现状,并探讨其影响因素。方法 采用主要不良心脏事件高危者院前延迟行为意向测评量表、主要不良心脏事件知识问卷对社区325名主要不良心脏事件高危者进行调查分析。结果 社区主要不良心脏事件高危者院前延迟行为意向总分为(55.07±8.87)分,知识得分为8.99(4.00,10.00)分。多元回归分析发现,主要不良心脏事件知识水平、教育程度、经济收入和其他疾病史是社区主要不良心脏事件高危者院前延迟行为意向较高的独立影响因素(P<0.05,P<0.01)。结论 社区主要不良心脏事件高危者院前延迟行为意向总体水平中等,应重视主要不良心脏事件知识缺乏、教育程度低、经济收入低、患有多种疾病的高危者,进行针对性健康教育及管理,降低院前延迟就医行为意向水平。Objective To understand the status of pre-hospital delay behavior intention among high-risk patients of major adverse cardiac events(MACE) in the community,and to explore its influencing factors.Methods A total of 325 high-risk patients of MACE in the community were investigated using the Pre-hospital Delayed Behavior Intention Assessment Scale and the Major Adverse Cardiac Events Knowledge Questionnaire.Results The total score of Pre-hospital Delay Behavior Intention in the participants was(55.07±8.87),and the score of Major Adverse Cardiac Events Knowledge was 8.99(4.00,10.00).Multiple regression analysis showed that,knowledge of MACE,educational background,personal monthly income and history of other diseases were indepen-dent influencing factors of pre-hospital delay behavior intentions in high-risk patients of MACE in the community(P<0.05,P<0.01).Conclusion The pre-hospital delay behavior intention in high-risk patients of MACE in the community is in a moderate level.It is necessary to pay attention to those high-risk patients with deficit MACE knowledge,low educational background,low income and multiple diseases,and conduct targeted health education and management,so as to reduce the pre-hospital delay behavior intention level.

关 键 词：社区 心脏不良事件 高危人群 院前延迟 行为意向 就医行为 社区护理 

分 类 号：R473.2[医药卫生—护理学]