摘要
目的探究急性心肌梗死患者家属早期识别和急救知识状况,旨在提高急性心肌梗死患者的生存率。方法选取2017年9月至2018年8月于湖州市中心医院接受治疗的216例急性心肌梗死患者家属为研究对象,采用查阅病历、电话随访以及微信的方式统计患者家属早期识别急性心肌梗死的比例、急救知识的掌握以及患者家属的年龄、性别、受教育年限以及职业,研究影响急性心肌梗死患者家属早期识别和急救知识掌握的影响因素。结果216例急性心肌梗死患者家属中能够早期识别疾病86例,早期识别率为39.81%;患者家属对急性心肌梗死急救知识掌握31例,基本掌握44例,掌握率为34.72%(75/216);年龄36~45岁组患者家属急救知识得分最高;早期识别率和急救知识掌握程度有正相关关系;女性急救知识得分较高;受教育年限≥17年患者家属急救知识得分最高;从事脑力劳动患者家属急救知识得分较高;多因素logisitic回归分析显示女性、受教育年限高、从事脑力劳动是急性心肌梗死患者家属能够早期识别和掌握急救知识的影响因素。结论急性心肌梗死患者家属急救知识掌握程度与女性、受教育年数高、从事脑力劳动密切关联,是急性心肌梗死患者家属能够早期识别和掌握急救知识的影响因素。
Objective To discuss the early identification and first-aid knowledge of family members of patients with acute myocardial infarction.Methods The family members of 216patients with acute myocardial infarction and were treated at Huzhou Central Hospital from September 2017to August 2018were included.A survey was conducted by follow-up calls,Wechat communication or medical records to collect information about early identification of acute myocardial infarction and the first-aid knowledge of family members,the influencing factors as age,gender,education and occupation of family members of the patients were discussed as well.Results Out of total 216cases,86cases were recognized early of acute myocardial infarction by family members with the early recognition rate of 39.81%.Family members of 75cases(34.72%)claimed of having extensive or basic first-aid knowledge about acute myocardial infarction.The scores of first-aid knowledge were higher among family members in age group of 36~45years old,female members,those with higher education and white-collar workers.Multivariate logistic regression analysis showed female family members,family members with high education and doing white-collar jobs were major influencing factors for the early identification of the disease and the first-aid knowledge of family members of patients with acute myocardial infarction.Conclusions The early recognition rate and the knowledge of first-aid knowledge of family members of patients with acute myocardial infarction are associated with women,high education and white-collar jobs,which are major influencing factors for disease early identification and first-aid knowledge of family members of patients with acute myocardial infarction.
作者
徐金粉
金培英
XU Jin-fen;JIN Pei-ying(Department of Emergency,Huzhou Central Hospital,Huzhou,Zhejiang 313000,China)
出处
《中国预防医学杂志》
CAS
CSCD
2020年第1期103-106,共4页
Chinese Preventive Medicine
关键词
急性心肌梗死
患者家属
早期识别
急救知识
Acute myocardial infarction
Family members
Early identification
First aid knowledge
