冠状动脉慢性完全闭塞性病变患者健康期望评估结果及其影响因素分析  

Analysis of health expectancy assessment results and influencing factors in patients with chronic total obstructive disease of coronary artery

作　　者：路慧[1] 康立惠[1] 程宇彤[1] 李莉[1] 杨永红[1] 付林艳 李艳玲 王月影 白峻 LU Hui;KANG Lihui;CHENG Yutong;LI Li;YANG Yonghong;FU Linyan;LI Yanling;WANG Yueying;BAI Junkang;LI Hui(Department of Cardiology,Beijing Anzhen Hospital,Capital Medical University,Beijing institute of Heart,Lung and Blood Vessel Diseases,Beijing 100029,China)

机构地区：[1]首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所心血管内科,100029

出　　处：《心肺血管病杂志》2024年第12期1282-1287,共6页Journal of Cardiovascular and Pulmonary Diseases

基　　金：首都医科大学“本科生科研创新”项目(XSKY2021222)。

摘　　要：目的:探究冠状动脉慢性完全闭塞性病变(chronic total occlusion,CTO)患者健康期望评估结果及其影响因素。方法:回顾性分析安贞医院住院的108例CTO患者,收集其一般资料,患者使用自评多维健康测定量表(multidimensional health measurement instruments system for elderly patients with chronic disease,MHIEC)评估其健康期望,以低于MHIEC评分平均值定义为健康期望偏低,以Logistic回归分析统计其健康期望偏低独立影响因素。结果:共纳入研究对象108例,其中男性93例(86.1%),平均年龄(56.5±11.4)岁。检出健康期望偏低者28例,检出率为25.9%;不同性别、职业、教育程度、婚姻状况及家庭经济状况健康期望偏低检出率,差异无统计学意义(P均>0.05);饮酒、高脂血症、PCI史以及血清肌钙蛋白I(Troponin,TnI)、BNP、HDL-C、LDL-C、焦虑自评量表(selfrating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)、匹兹堡睡眠质量指数(pittsburgh sleep quality index,PSQI)水平与健康期望偏低有关(P均<0.05)。Logistic回归分析显示,饮酒史(OR=3.261,95%CI:2.512~7.549)、高脂血症病史(OR=3.368,95%CI:2.692~8.112)、PCI史(OR=3.025,95%CI:1.968~6.264),TnI(OR=2.525,95%CI:1.985~4.525)、BNP(OR=3.583,95%CI:2.302~9.346)、LDL-C(OR=2.154,95%CI:1.223~2.639)、HDL-C(OR=0.582,95%CI:0.421~0.711)、SAS(OR=0.667,95%CI:0.424~0.821)、SDS(OR=0.768,95%CI:0.238~0.932)、PSQI(OR=2.433,95%CI:2.107~3.596)评分为CTO患者健康期望偏低影响因素(P<0.05)。结论:饮酒史、高脂血症、PCI史、心肌损伤、不良习惯、情绪和睡眠质量为健康期望评估偏低影响因素,可将其作为切入加强干预提升其健康期望水平。Objective:To explore the health expectancy assessment results and influencing factors in patients with chronic total occlusion(CTO)of the coronary artery.Methods:A retrospective analysis was conducted on 108 CTO patients in our department,and general information was collected.The patients were evaluated for their health expectations using the multidimensional health measurement instruments system for elderly patients with chronic disease(MHIEC),and defined as having lower health expectations than the average MHIEC score.Logistic regression analysis was used to identify the independent influencing factors for lower health expectations.Results:A total of 108 study subjects were included,including 93 males(86.1%)with an average age of(56.5±11.4)years.Twenty-eight cases with low health expectations were detected,with a detection rate of 25.9%;There was no statistically significant difference in the detection rate of low health expectations among different genders,occupations,educational levels,marital status,and family economic status(P>0.05 for all);Alcohol consumption,hyperlipidemia,medical history of coronary intervention,as well as serum Troponin I(TnI),BNP,HDL-C,LDL-C,self rating anxiety scale(SAS),self rating depression scale(SDS),pittsburgh sleep quality the pittsburgh sleep quality index(PSQI)level is associated with lower health expectations(all P<0.05).Logistic regression analysis showed that history of alcohol consumption(OR=3.261,95%CI:2.512-7.549),history of hyperlipidemia(OR=3.368,95%CI:2.692-8.112),medical history of coronary intervention(OR=3.025,95%CI:1.968-6.264),TnI(OR=2.525,95%CI:1.985-4.525),BNP(OR=3.583,95%CI:2.302-9.346),LDL-C(OR=2.154,95%CI:1.223-2.639),HDL-C(OR=0.582,95%CI:0.421-0.711),SAS The scores of(OR=0.667,95%CI:0.424-0.821),SDS(OR=0.768,95%CI:0.238-0.932),and PSQI(OR=2.433,95%CI:2.107-3.596)were the influencing factors for low health expectations in CTO patients(P<0.05).Conclusion:History of alcohol consumption,hyperlipidemia,history of coronary intervention,myocardial injury,unhealth

关 键 词：冠状动脉慢性完全闭塞性病变 健康期望 影响因素 

分 类 号：R54[医药卫生—心血管疾病]