健康跨期决策偏好对PCI患者心血管健康行为影响的研究  

Effect of health intertemporal decision-making preference on cardiovascular health behavior in patients after PCI

作　　者：吴松阳 高学琴[1] 林平[1] 赵振娟[1] 王旖旎[1] 李玲[1] WU Song-yang;GAO Xue-qin;LIN Ping;ZHAO Zhen-juan;WANG Yi-ni;LI Ling(Department of Cardiology,The Second Affiliated Hospital of Harbin Medical University,Harbin 150081,China)

机构地区：[1]哈尔滨医科大学附属第二医院心内科,黑龙江哈尔滨150081

出　　处：《哈尔滨医科大学学报》2024年第3期324-329,共6页Journal of Harbin Medical University

摘　　要：目的探究经皮冠状动脉介入术(percutaneous coronary intervention,PCI)患者健康跨期决策偏好与金钱跨期决策偏好的相关性,并进一步分析其健康跨期决策偏好特征对心血管健康行为的影响。方法选取2021年9月~2022年3月哈尔滨市某三级甲等医院心内科232例PCI患者为研究对象,采用不同损失情境下的金钱和健康跨期选择任务问卷,分别调查患者在面对金钱和健康损失情景(面对未来可能出现的心脏不良事件进行的戒烟、合理膳食和规律运动的选择)时的跨期决策折扣率,分析健康跨期决策偏好与金钱跨期决策偏好的相关性;同时应用心血管健康评分(cardiovascular health score,CHS)对其健康行为进行评价,采用Logistic回归分析跨期决策偏好对CHS的影响。结果PCI患者的健康跨期决策(戒烟、合理膳食和规律运动)折扣率与金钱跨期决策折扣率之间存在相关性(r=0.246,0.301,0.262,P均<0.05)。单因素结果显示,患者文化程度、金钱跨期决策折扣率和健康跨期决策折扣率影响CHS(P<0.05);进一步Logistic回归分析显示,健康跨期决策折扣率影响CHS(P<0.05)。结论PCI患者健康跨期决策偏好与金钱跨期决策偏好具有相关性,能够反映出个体的跨期决策偏好;健康跨期决策偏好是心血管健康行为的独立影响因素。Objective To investigate the correlation between health intertemporal decision-making preference and money intertemporal decision-making preference in patients after percutaneous coronary intervention(PCI),and to further analyze the effects of the characteristics of health intertemporal decision-making preference on cardiovascular health behavior.Methods From September 2021 to March 2022,232 PCI patients who met the inclusion criteria in the Cardiology Department of a Grade-III hospital in Harbin City were selected.A total of 232 patients with coronary heart disease who underwent PCI for the first time were selected by the convenience sampling method.The intertemporal choice task questionnaire of money and health under different loss scenarios was used to investigate the intertemporal decision discount rate of patients in the situation of money and health loss(the choice of quitting smoking,reasonable diet,and regular exercise in the face of possible future cardiac adverse events).The correlation between health intertemporal decision-making preference and money intertemporal decision-making preference was analyzed.At the same time,the cardiovascular health score(CHS)was used to evaluate their health behavior,and the influence of intertemporal decision-making preference on CHS was analyzed by Logistic regression.Results There was a correlation between the discount rate of health intertemporal decisions(quitting smoking,reasonable diet,and regular exercise)and the discount rate of intertemporal money decisions in PCI patients(r=0.246,0.301,0.262,P<0.05).Univariate results showed that patients'education level,intertemporal decision-making discounting rate of money,and intertemporal decision-making discounting rate of health affected CHS(P<0.05).Further Logistic regression analysis showed that the health intertemporal decision-making discount rate affected CHS(P<0.05).Conclusion The intertemporal decision-making preference of health and money in PCI patients is correlated,which can reflect the individual's intertempo

关 键 词：经皮冠状动脉介入术 金钱跨期决策偏好 健康跨期决策偏好 心血管健康评分 

分 类 号：R395.6[哲学宗教—心理学]