中青年冠心病患者经皮冠状动脉介入治疗后社会功能现状及其影响因素

Hanjing Zhou, Zhi-Ru Liang, Meirong Zhong, P. Ma
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摘要

目的了解经皮冠状动脉介入治疗(PCI)后中青年冠心病患者的社会功能,分析其影响因素,为临床干预提供依据。方法选取南宁市某三甲综合医院心血管内科经皮冠状动脉介入治疗复查的240例中青年冠心病患者,采用方便抽样的方法进行研究。采用一般信息问卷、社会功能障碍筛查量表(SDSS)、短暂疾病感知问卷(BIPQ)和事件相关反刍量表(ERRI)对所有患者进行调查。采用二元Logistic回归分析影响因素。结果240例经皮冠状动脉介入治疗后的中青年冠心病患者,SDSS总分为(3.98±2.58)分,社会功能障碍发生率为72.9%(175/240)。二元Logistic回归分析显示,PCI后中青年冠心病患者社会功能障碍的影响因素包括家庭人均月收入(OR=0.383)、疾病认知(OR=1.558,目的反思(OR=0.643),差异有统计学意义(P<0.01)。结论中青年冠心病患者PCI术后社会功能有待改善。应根据影响因素采取有效干预措施,降低中青年冠心病患者PCI术后社会功能障碍的发生率。关键词:心;中青年;冠心病;经皮冠状动脉介入治疗;社会功能;影响因素
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Current situation of social function in young and middle-aged coronary disease patients after percutaneous coronary intervention (PCI) and its influencing factors
Objective To investigate the social function in young and middle-aged coronary disease patients after percutaneous coronary intervention (PCI) and to analyze its influencing factors so as to provide a basis for making clinical intervention. Methods From February 2019 to September 2019, this study selected 240 young and middle-aged coronary disease patients after PCI reexamined in Cardiovascular Medicine of a ClassⅢ Grade A general hospital in Nanning as subjects by convenience sampling. All of patients were investigated with the General Information Questionnaire, Social Dysfunction Screening Scale (SDSS) , Brief Illness Perception Questionnaire (BIPQ) and Event Related Rumination Inventory (ERRI) . Binary Logistic regression was used to analyze the influencing factors. Results Among 240 young and middle-aged coronary disease patients after PCI, the total score of SDSS was (3.98±2.58) . The incidence of social dysfunction was 72.9% (175/240) . Binary Logistic regression analysis showed that the influencing factors of social dysfunction in young and middle-aged coronary disease patients after PCI included the average monthly income per person in family (OR=0.383) , illness perception (OR=1.558) , objective rumination (OR=0.643) with statistical differences (P<0.01) . Conclusions Social function in young and middle-aged coronary disease patients after PCI needs to be improved. Effective intervention based on influencing factors should be taken to reduce the incidence of social dysfunction in young and middle-aged coronary disease patients after PCI. Key words: Heart; Young and middle-aged; Coronary disease; Percutaneous coronary intervention; Social function; Influencing factors
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