PCI术后患者不同行为阶段心脏康复需求现况及其影响因素  

The status quo and influencing factors of cardiac rehabilitation needs of patients at diff erent behavioral stages after PCI

作　　者：吴静韵 苏静[1] WU Jingyun;SU Jing(Medical College of Shantou University,Shantou,515041,China)

机构地区：[1]汕头大学医学院,广东省汕头市515041

出　　处：《护理实践与研究》2023年第6期851-858,共8页Nursing Practice and Research

摘　　要：目的探讨经皮冠状动脉介入治疗(PCI)术后患者对心脏康复需求情况及影响因素,为制订个性化的健康教育和康复计划提供参考。方法抽取2021年10月—2022年4月汕头市某三级甲等医院的102例行PCI术患者为调查对象,采用中文版心脏康复量表和自制的一般资料调查表为调查工具。运用SPSS 19.0统计学软件分析数据。结果102例PCI术后患者的心脏康复需求情况结果显示,过程焦虑得分11.64±3.58分,结果焦虑得分7.48±2.79分,自主性得分17.57±3.22分。多元线性回归分析结果显示,置入支架数量和日常运动锻炼习惯影响患者的心脏康复过程焦虑(P<0.05);改变阶段是PCI术后患者心脏康复结果焦虑得分、心脏康复自主性得分的影响因素。结论PCI术后患者心脏康复自主性得分整体情况良好,但仍有部分患者对心脏康复的过程及结果存在较高程度的焦虑,自主性不强,有一定心脏康复需求。医护人员及社会团体需针对心脏康复需求的影响因素采取具有针对性的干预措施,以促进患者积极参与。Objective To explore the demand for cardiac rehabilitation of patients after percutaneous coronary intervention(PCI)and its influencing factors,so as to provide reference for formulating personalized health education and rehabilitation plan.Methods A total of 102 patients with PCI in a third-class A hospital in Shantou city from October 2021 to April 2022 were selected as the subjects.The Chinese version of the cardiac rehabilitation scale and the self-made general information questionnaire were used as the survey tools.SPSS 19.0 statistical software was used to analyze the data.Results The cardiac rehabilitation needs of 102 patients after PCI showed that the process anxiety score was 11.64±3.58 points,the result anxiety score was 7.48±2.79 points,and the autonomy score was 17.57±3.22 points.Multiple linear regression analysis showed that the number of stents and daily exercise habits aff ect patients'anxiety during cardiac rehabilitation(P<0.05);the change stage is the influencing factor of anxiety score of cardiac rehabilitation results and cardiac rehabilitation autonomy score of patients after PCI.Conclusion The score of cardiac rehabilitation autonomy of patients after PCI is generally good,but some patients still have a high degree of anxiety about the process and results of cardiac rehabilitation,and their autonomy is not strong,and they have certain needs for cardiac rehabilitation.Medical staff and social groups should take targeted intervention measures according to the influencing factors of cardiac rehabilitation needs to promote the active participation of patients.

关 键 词：PCI术后 心脏康复 需求 影响因素 行为阶段 

分 类 号：R47[医药卫生—护理学]