急性心肌梗死患者PCI术后锻炼行动自我效能的影响因素分析  

Study on current status of exercise self-efficacy and its influencing factors on patients with acute myocardial infarction after PCI

作　　者：张肖红[1] 张晓丹 黄斌[1] ZHANG Xiaohong;ZHANG Xiaodan;HUANG Bin(Department of Cardiology,Henan Provincial Hospital of Traditional Chinese Medicine,Zhengzhou,Henan 450000,China)

机构地区：[1]河南省中医院心病科,河南郑州450000

出　　处：《淮海医药》2024年第4期360-363,共4页Journal of Huaihai Medicine

基　　金：河南省中医药科学研究专项课题(2018ZY2045)。

摘　　要：目的:探讨急性心肌梗死(AMI)患者经皮冠状动脉介入治疗(PCI)术后锻炼行动自我效能的影响因素。方法:选取2021年12月—2023年12月某院通过PCI成功植入冠状动脉支架的103例AMI患者,收集相关临床资料。单因素及多重线性回归分析影响AMI患者PCI术后锻炼行动自我效能的因素。结果:单因素分析显示,不同性别、文化程度、婚姻状况、医疗保险、居住地点、家庭平均月收入、支架植入数、吸烟史AMI患者PCI术后锻炼行动自我效能评分比较,差异无统计学意义(P>0.05);年龄≥60岁、焦虑、抑郁的AMI患者PCI术后锻炼行动自我效能评分低于年龄<60岁、无焦虑、无抑郁患者,锻炼行为各阶段评分呈行动阶段>意向阶段>前意向阶段,差异有统计学意义(P<0.05)。多重线性回归分析显示,锻炼行为阶段、焦虑、抑郁是AMI患者PCI术后锻炼行动自我效能的影响因素(P<0.05)。结论:锻炼行为阶段、焦虑、抑郁与AMI患者PCI术后锻炼行动自我效能密切相关。Objective:To explore the current status and influencing factors of exercise self-efficacy on patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI).Methods:A total of 103 AMI patients who were admitted to a hospital and successfully implanted coronary stents by PCI from December 2021 to December 2023 were selected to collect relevant clinical data.Univariate and multifactorial linear regression analysis were used to analyze the factors affecting the self-efficacy of exercise actions after PCI of the AMI patients.Results:Univariate analysis showed that the post-PCI exercise action self-efficacy scores of AMI patients with age≥60 years,anxiety,and depression were lower than those of patients with age<60 years,no anxiety,and no depression(P<0.05).The exercise action self-efficacy scores of exercise behavior stages were compared,with the action stage>intention stage>pre-intention stage(P<0.05).The results of multifactorial logistic regression analysis showed that the stage of exercise behavior,anxiety,and depression were the influencing factors of exercise action self-efficacy after PCI in AMI patients(P<0.05).Conclusion:Exercise behavior stage,anxiety,and depression are closely related to exercise self-efficacy in AMI patients after PCI.

关 键 词：急性心肌梗死 经皮冠状动脉介入治疗 锻炼行动自我效能 锻炼行为阶段 焦虑 抑郁 

分 类 号：R542.22[医药卫生—心血管疾病]