老年冠心病病人经皮冠状动脉介入治疗术后衰弱的概念分析  

Conceptual analysis of postoperative frailty in elderly patients with coronary heart disease after percutaneous coronary intervention

作　　者：徐海月 孙文霞 XU Haiyue;SUN Wenxia(School of Nursing,Yanbian University,Jilin 133002 China;Yanbian University Affiliated Hospital)

机构地区：[1]延边大学护理学院,吉林133002 [2]延边大学附属医院

出　　处：《循证护理》2025年第7期1237-1241,共5页Chinese Evidence-Based Nursing

摘　　要：目的:应用Walker和Avant经典概念分析法明确老年冠心病病人经皮冠状动脉介入治疗(PCI)术后衰弱的概念以及内涵。方法:系统检索EMbase、Web of Science、PubMed、CINAHL、中国知网、万方数据库、维普数据库和中国生物医学文献服务系统等数据库中与老年冠心病病人PCI术后衰弱的相关文献,检索时限为建库至2023年12月19日,分析PCI术后衰弱概念的前因后果和定义属性。结果:共纳入34篇文献,老年冠心病病人PCI术后衰弱包括实施PCI术的老年病人、心血管高危因素、共病负担重和高风险不良结局4个属性;前因包括人口学资料、个体健康状况差、不良生活方式、PCI治疗因素和家庭关怀度低;后果为不良事件增加、心理社会影响、医疗资源消耗。结论:通过概念分析明确老年冠心病病人PCI术后衰弱的概念,能够帮助临床医务人员尽早识别衰弱风险并给予针对性措施,从而改善不良结局,为开展相关研究提供参考依据。Objective:To define the concept and connotation of postoperative frailty in elderly patients with coronary heart disease after percutaneous coronary intervention(PCI)using Walker and Avant's classic concept analysis method.Methods:Databases including EMbase,Web of Science,PubMed,CINAHL,CNKI,WanFang Database,VIP and SinoMed were systematically searched for literature related to postoperative frailty after PCI in elderly patients with coronary heart disease.The retrieval time was from the inception to December 19,2023.To analyze the antecedents and consequences and defining attributes of the concept of postoperative frailty after PCI.Results:A total of 34 articles were included.Postoperative frailty in elderly patients with coronary heart disease after PCI included 4 attributes:elderly patients after PCI,high cardiovascular risk factors,heavy comorbidity burden and high risk of adverse outcomes.The antecedents included demographic data,poor individual health status,unhealthy lifestyle,PCI treatment factors and low family care.The consequences included increased adverse events,psychosocial effects,and consumption of health care resources.Conclusion:Clarifying the concept of postoperative frailty in elderly patients with coronary heart disease after PCI through concept analysis can help clinical medical staff identify the risk of frailty as soon as possible and give targeted measures,so as to improve the adverse outcomes and provide a reference for carrying out related research.

关 键 词：老年人 经皮冠状动脉介入治疗 衰弱 概念分析 

分 类 号：R54[医药卫生—心血管疾病]