急诊老年急性心肌梗死经皮冠状动脉介入术后患者对现实和未来的积极态度及其影响因素分析  

Analysis of positive attitude towards the present and future in elderly emergent patients with acute myocardial infarction after percutaneous coronary intervention and its influencing factors

作　　者：彭玉芳 李溪[1] 靳晶[1] Peng Yufang;Li Xi;Jin Jing(Department of Pre-Hospital Emergency,West Hospital of First Central Hospital of Baoding City,Baoding,Hebei,071052,P.R.China)

机构地区：[1]保定市第一中心医院西院院前急救科,河北保定071052

出　　处：《老年医学与保健》2024年第4期1060-1063,1083,共5页Geriatrics & Health Care

摘　　要：目的调查急诊老年急性心肌梗死(AMI)经皮冠状动脉介入(PCI)术后患者对现实和未来的积极态度并分析其影响因素。方法回顾性分析2020年1月—2023年1月于保定市第一中心医院急诊科接诊行PCI术120例老年AMI患者病历资料。采用Herth希望量表(HHI)调查患者希望水平,据此评估患者对现实和未来的积极态度,采用多因素Logistic回归方法分析其影响因素。结果急诊老年AMI患者PCI术后HHI总分为(34.79±4.42)分,60.83%患者处于低中等希望水平。单因素分析显示,急诊老年AMI患者PCI术后希望水平与学历、婚姻状况、是否知晓病情、有无慢性疾病、家庭月收入、家庭功能、社会支持程度有关(P<0.05);多因素Logistic回归分析显示,初中及以下学历、家庭月收入<6000元、家庭功能障碍、社会支持程度低是老年AMI患者PCI术后希望水平不高的独立危险因素(P<0.05)。结论急诊老年AMI患者PCI术后的希望水平可能处于中等水平,受到学历、家庭月收入、家庭功能、社会支持等多方面因素的影响,可为医护人员制定针对性的干预措施进而提高患者的希望水平提供依据。Objective To investigate the positive attitude towards the present and future in elderly emergent patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI)and analyze its influencing factors.Methods The medical records of 120 elderly patients with AMI who underwent PCI in Emergency Department of First Central Hospital of Baoding City from January 2020 to January 2023 were retrospectively analyzed.The hope level of patients was investigated by Herth Hope Scale(HHI).Based on this,their positive attitude towards the present and future was evaluated,and its influencing factors were analyzed by multivariate Logistic regression analysis.Results The total score of HHI of these patients was(34.79±4.42)points,and 60.83%of the patients had low and medium hope level.Univariate analysis showed that hope level was related to education level,marital status,disease cognition,chronic diseases,monthly family income,family function and social support(P<0.05).Multivariate Logistic regression analysis showed that education level of junior high school or below,monthly family income<6000 yuan,family dysfunction and low social support were independent risk factors for low hope level in elderly AMI patients after PCI(P<0.05).Conclusion The hope level of elderly emergent patients with AMI after PCI may be at a medium level,which is affected by many factors such as educational level,monthly family income,family function and social support.Medical staffs should formulate targeted intervention measures to improve hope level of patients.

关 键 词：老年 急性心肌梗死 经皮冠状动脉介入 希望水平 危险因素 

分 类 号：R542.22[医药卫生—心血管疾病]