急性STEMI患者介入治疗后健康促进行为状况及其影响因素  

Health promotion behavior and influencing factors in patients with acute STEMI after intervention therapy

作　　者：李媛 王伟霞 李艳鑫[1] LI Yuan;WANG Wei-xia;LI Yan-xin(Cardiology Ward of Henan Provincial Chest Hospital,Zhengzhou 450000,China)

机构地区：[1]河南省胸科医院心内病区,郑州450000

出　　处：《医药论坛杂志》2024年第20期2178-2182,共5页Journal of Medical Forum

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20190731)。

摘　　要：目的探讨急性ST段抬高型心肌梗死(ST-segment elevation myocardial infarction,STEMI)患者介入治疗后健康促进行为状况,并分析介入治疗后患者健康促进行为的影响因素。方法纳入2022年12月—2023年12月河南省胸科医院诊疗的120例急性STEMI患者作为研究对象,全部患者均于本院接受介入治疗,并于介入治疗后1个月,采用健康促进行为量表(HPLP-Ⅱ)评估患者健康促进行为状况,再设计一般资料调查问卷,询问并在患者配合下完成问卷填写,比较不同基线资料患者的健康促进行为水平(HPLP-Ⅱ评分),纳入可能因素,采用多元线性回归分析急性STEMI患者介入治疗后健康促进行为状况的影响因素。结果120例急性STEMI患者介入治疗后HPLP-Ⅱ评分为(128.35±14.77)分,健康促进行为处于中等水平。不同性别、婚姻关系、领悟社会支持能力、希望水平、应对方式的急性STEMI患者介入治疗后HPLP-Ⅱ评分比较,差异有统计学意义(P<0.05);建立多元线性回归模型,结果显示,性别、婚姻关系、领悟社会支持能力、希望水平、应对方式均是急性STMEI患者介入治疗后健康促进行为的影响因素(P<0.05)。结论急性STMEI患者介入治疗后健康促进行为整体呈中等水平,可能受患者性别、婚姻状况、领悟社会支持能力、希望水平、应对方式等因素影响。Objective To explore the health promotion behavior of patients with acute ST-segment elevation myocardial infarction(STEMI)after intervention treatment,and analyze the influencing factors of health promotion behavior in patients after intervention treatment.Methods A prospective study was conducted,including 120 acute STEMI patients diagnosed and treated at Henan Provincial Chest Hospital from December 2022 to December 2023 as the study subjects.All patients received intervention treatment at our hospital,and one month after intervention treatment,the Health Promotion Behavior Scale(HPLP-II)was used to evaluate the health promotion behavior status of patients.A general information survey questionnaire was designed,and the questionnaire was asked and completed with the cooperation of patients.The health promotion behavior levels of patients with different baseline data(HPLP-II score)were compared,and possible factors were included.Multiple linear regression analysis was used to test the influencing factors of health promotion behavior status of acute STEMI patients after intervention treatment.Results The HPLP-II score of 120 patients with acute STEMI after interventional treatment was(128.35±14.77),indicating a moderate level of health promoting behavior.The comparison of HPLP-Ⅱscores after intervention treatment in acute STEMI patients with different genders,marital relationships,understanding of social support ability,hope level,and coping styles showed statistical significant differences(P<0.05).A multiple linear regression model was established,and the results showed that gender,marital relationship,perceived social support ability,hope level,and coping style were all influencing factors for health promotion behavior in acute STMEI patients after intervention treatment(P<0.05).Conclusion The overall health promotion behavior of acute STMEI patients after intervention treatment is at a moderate level,which may be influenced by factors such as patient gender,marital status,ability to comprehend social suppor

关 键 词：急性ST段抬高型心肌梗死 健康促进行为 希望水平 应对方式 

分 类 号：R542.22[医药卫生—心血管疾病]