急性冠脉综合征患者心脏康复相关知识和认知态度现状及影响因素分析  

Analysis of cognitive attitude status,knowledge related to cardiac rehabilitation and influencing factors in patients with acute coronary syndrome

作　　者：周彤[1] 张娜娜 刘进军[1] 张先林[1] 黄娟[1] ZHOU Tong;ZHANG Nana;LIU Jinjun;ZHANG Xianlin;HUANG Juan(Department of CardiovasculaRMedicine,The First Affiliated Hospital of Bengbu Medical College,Anhui 233004,China)

机构地区：[1]蚌埠医学院第一附属医院心血管内科,安徽蚌埠233004

出　　处：《淮海医药》2023年第2期133-137,共5页Journal of Huaihai Medicine

基　　金：蚌埠医学院科技发展基金项目(BYKF1871);蚌埠医学院人文重点项目(2020byzd226sk);蚌埠医学院校级质量工程重点项目(2021fyjyxm03);蚌埠市社会科学规划项目(BB18C050);蚌埠市社会科学规划项目(BB19D008)。

摘　　要：目的:了解皖北地区某三级甲等医院急性冠脉综合征患者心脏康复相关知识和认知态度的现状及影响因素。方法:选取皖北地区某三级甲等医院213例急性冠脉综合征患者,采用调查问卷与量表进行心脏康复相关知识、认知态度及自我管理行为的调查,并对其影响因素进行单因素及多元线性回归分析。结果:213例急性冠脉综合征患者心脏康复相关知识的得分为(30.38±5.57)分,心脏康复认知态度得分为(34.99±5.53)分,患者自我管理能力得分为(72.99±12.78分)。多元线性回归分析显示,不同文化程度、不同职业、手术经历及是否放置支架对患者心脏康复相关知识的得分有影响,自我管理行为能力对心脏康复认知态度的得分有影响,差异均有统计学意义(P<0.05)。结论:皖北地区急性冠脉综合征患者心脏康复相关知识和认知态度总体处于中低水平。地区医疗机构应重视心脏康复及相关管理,医务人员应根据患者不同的文化程度、职业、手术经历及是否放置支架采取针对性的干预措施,提高患者心脏康复的相关知识和认知态度及自我管理水平。社会、医院、患者三方联动才能提高急性冠脉综合征患者心脏康复参与的积极性和依从性。Objective:To investigate the current situation of cardiac rehabilitation knowledge and cognitive attitude of patients with acute coronary syndrome in a tertiary A hospital in northern Anhui,and analyze its influencing factors.Methods:213 patients with acute coronary syndrome were selected by convenience sampling method.General data questionnaire,knowledge related to cardiac rehabilitation,cognitive attitude and CHD self-management behavioRscale were used in the investigation.Results:The scores of cardiac rehabilitation knowledge,cognitive attitude and CHD self-management behavioRscale of the 213 patients were respectively(30.38±5.57)points,(34.99±5.53)points and(72.99±12.78)points.Multiple lineaRregression analysis showed that different education levels,different occupations,coronary interventional surgery experience and stent placement had an impact on the score of cardiac rehabilitation knowledge of the patients,and self-management behavioRability had an impact on the score of cognitive attitude towards cardiac rehabilitation,the difference being statistically significant(P<0.05).Conclusion:The situation of cardiac rehabilitation knowledge and cognitive attitude in northern Anhui is not optimistic.Low educational level,farmers,first PCI experience,pooRself-management behavioRability have an impact on cardiac rehabilitation knowledge and attitude.Therefore,it is imperative to carry out the management related to cardiac rehabilitation in low and middle income areas,and the interaction of society,hospitals and patients can improve the enthusiasm and compliance of ACS patients in cardiac rehabilitation.

关 键 词：急性冠脉综合征 心脏康复 认知 护理 

分 类 号：R541.4[医药卫生—心血管疾病]