摘要
目的明确急性心肌梗死(AMI)患者经皮冠状动脉介入术(PCI)术后心脏康复认知及自我管理能力现状,并分析二者的相关性。方法便利抽取行PCI的AMI患者为研究对象,采用基本资料调查表、AMI患者心脏康复认知问卷和冠脉支架植入患者自我管理能力量表进行调查。结果AMI患者PCI术后心脏康复认知问卷得分为(67.97±6.09)分,患者自我管理能力量表得分为(61.75±6.67)分,不同家庭人均月收入、医疗支付方式、经济负担、居住地距医院车程、之前放支架情况的AMI患者自我管理能力量表得分差异有统计学意义。患者心脏康复认知与自我管理能力呈正相关关系(P<0.05)。结论AMI患者PCI术后心脏康复认知和自我管理能力处于中等及中等偏上水平,患者自觉心脏康复阻力较大,对疾病相关知识了解较为薄弱。对PCI术后患者实施健康宣教和心脏康复指导时,应注意综合考虑患者经济、病程等因素制订个性化指导方案,并突出对疾病知识的讲解。相关部门应加强对心脏康复的经济性研究,为有效提升AMI患者PCI术后心脏康复认知水平与自我管理能力提供政策性保障。
Objective To clarify the status of cardiac rehabilitation cognition and self-management ability in patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI),and analyze the correlation between them.Methods Conveniently select AMI patients undergoing PCI as the research subjects,and conduct surveys with Basic Information Questionnaires,AMI Patient Cardiac Rehabilitation Cognition Questionnaire,and Coronary Stent Implantation Patient Self-management Ability Scale.Results The score of AMI Patients Cardiac Rehabilitation Cognition Questionnaire after PCI was(67.97±6.09)score,and the score of Self-management Ability Scale was(61.75±6.67)score.There were statistically significant differences in the Self-management Ability Scale scores of AMI patients with different household average monthly income,medical payment ways,economic burden,distance from the hospital to home,and previous stent placement.There is a positive correlation between patients′cardiac rehabilitation cognition and self-management ability(P<0.05).Conclusion The cognitive and self-management abilities of post PCI cardiac rehabilitation in AMI patients are at a moderate to above level.Patients have a greater resistance to cardiac rehabilitation and a weaker learning of disease-related knowledge.When implementing health education and cardiac rehabilitation guidance for patients after PCI,attention should be paid to developing personalized guidance plans that comprehensively consider factors such as the patient's economy and disease course,and highlight the explanation of disease knowledge.Relevant departments should strengthen economic research on cardiac rehabilitation,providing policy guarantees for effectively improving the cognitive level and self-management ability of AMI patients after PCI for cardiac rehabilitation.
作者
泽仁郎措
朱悦悦
姜贺
TSERING Langtsu;ZHU Yueyue;JIANG He(Changdu Vocational School,Changdu City,Xizang Autonomous Region,China 854000;The First Affiliated Hospital of Xi′an Jiaotong University,Xi′an City,Shaanxi Province,China 710061;Tianjin Medical University,Tianjin City,China 300070)
出处
《卫生职业教育》
2024年第23期153-157,共5页
HEALTH VOCATIONAL EDUCATION
基金
2022年天津医科大学护理学科专项发展基金项目“防疫常态化下的老年慢性心衰患者居家症状轨迹研究”(2022XKZX-04)。
关键词
急性心肌梗死
经皮冠状动脉介入术
心脏康复认知
自我管理能力
Acute myocardial infarction
Percutaneous coronary intervention
Cardiac rehabilitation cognition
Self management ability
