中青年冠心病PCI术后患者早期社会功能现状及其影响因素分析  

Status quo and influencing factors of early social function in young and middle-aged patients with coronary heart disease after percutaneous coronary intervention

作　　者：朱寰[1] 杜丹[1] 贾栋[1] 王鑫[1] 高文贺[1] 王磊[1] 董树宝[1] 黄东东 Zhu Huan;Du Dan;Jia Dong;Wang Xin;Gao Wenhe;Wang Lei;Dong Shubao;Huang Dongdong(Department of Cardiac Catheterization Laboratory,the First Affiliated Hospital of Harbin Medical University,Harbin 150001,China)

机构地区：[1]哈尔滨医科大学附属第一医院心脏导管室,哈尔滨150001

出　　处：《中华现代护理杂志》2022年第31期4366-4370,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨中青年经皮冠状动脉介入治疗(PCI)术后患者早期社会功能现状,并分析其影响因素,为制订相关干预措施提供依据。方法采用便利抽样法,选取2021年7—12月在哈尔滨医科大学附属第一医院复查的110例中青年冠心病PCI术后患者为研究对象。采用一般资料调查表、社会功能缺陷筛查量表(SDSS)、社会支持评定量表(SSRS)、一般自我效能感量表(GSES)对患者进行调查。采用单因素分析、多重线性回归分析探讨中青年冠心病PCI术后患者早期社会功能的影响因素。本研究共发放问卷110份,回收有效问卷106份,有效回收率为96.36%(106/110)。结果106例中青年冠心病PCI术后患者SDSS得分为(3.89±1.63)分,SSRS得分为(38.80±7.02)分,GSES得分为(21.08±6.39)分。单因素分析结果显示,不同性别、家庭人均月收入、文化程度、支架数量的患者SDSS得分比较差异有统计学意义(P<0.01)。多重线性回归分析结果显示,性别、家庭人均月收入、文化程度、支架数量、一般自我效能、社会支持是中青年冠心病PCI术后患者早期社会功能的影响因素(P<0.05)。结论中青年冠心病PCI术后患者早期社会功能现状并不理想,医护人员应对女性、文化程度较低、家庭人均月收入较低、支架数量多的冠心病PCI术后患者给予更多的干预和指导,并考虑自我效能及社会支持对患者社会功能的影响,针对影响因素制订相应的干预措施,从而提高患者的社会功能水平。Objective To explore the status of early social function in young and middle-aged patients after percutaneous coronary intervention(PCI)and analyze its influencing factors,so as to provide a basis for formulating relevant intervention measures.Methods From July to December 2021,the convenient sampling method was used to select 110 young and middle-aged patients with coronary heart disease after PCI in the First Affiliated Hospital of Harbin Medical University as the research objects.The general information questionnaire,Social Disability Screening Schedule(SDSS),Social Support Rate Scale(SSRS)and General Self-Efficacy Scale(GSES)were used to investigate the patients.Univariate analysis and multiple linear regression analysis were used to explore the influencing factors of early social function in young and middle-aged patients with coronary heart disease after PCI.A total of 110 questionnaires were distributed and 106 valid questionnaires were recovered,with an effective recovery rate of 96.36%(106/110).Results The scores of SDSS,SSRS and GSES of 106 young and middle-aged patients after PCI were(3.89±1.63),(38.80±7.02)and(21.08±6.39),respectively.The results of univariate analysis showed that there were statistically significant differences in SDSS scores among patients with different gender,family per capita monthly income,education level and number of stents(P<0.01).The results of multiple linear regression analysis showed that gender,family per capita monthly income,education level,number of stents,general self-efficacy and social support were the influencing factors of early social function in young and middle-aged patients with coronary heart disease after PCI(P<0.05).Conclusions The status of early social function in young and middle-aged patients with coronary heart disease after PCI is not ideal.Medical staff should give more intervention and guidance to patients after PCI who are female,have a lower education level,have a lower per capita monthly family income and have a large number of stents,conside

关 键 词：冠心病 经皮冠状动脉介入治疗 社会功能 社会支持 一般自我效能 

分 类 号：R473.5[医药卫生—护理学]