摘要
目的探讨冠心病患者不健康行为与主要心脏不良事件(MACE)的关系。方法采用便利抽样法,选取2017年在哈尔滨市某医院心血管内科经冠状动脉造影确诊为冠心病,且于1年后再次入院复查的262例患者为研究对象。采用一般人口学及临床资料调查表、健康行为量表对其进行调查。结果本研究中,MACE组患者163例,N-MACE组99例。Logistic回归分析显示,心理应激(OR=1.062)、参与活动(OR=1.060)、生活习惯(OR=1.055)、C-反应蛋白(OR=1.183)、低密度脂蛋白胆固醇(OR=1.567)对MACE有预测作用(P<0.05)。结论医护人员应注重对冠心病患者的健康宣教,督促其采取健康的生活方式,进而减少MACE的发生。
Objective To explore the relationship between unhealthy behavior and major adverse cardiac events(MACE)in patients with coronary heart disease.Methods By convenience sampling,262 patients with coronary heart disease diagnosed under transcoronary angiography in 2017 in the department of cardiology of a hospital in Harbin and readmitted to the hospital for examination one year later,were selected as the participants of the study and the General Demographic and Clinical Data Questionnaire and Health Behavior Scale were used in the investigation.Results In this study,163 patients in MACE group and 99 patients in N-MACE group were enrolled.Logistic regression analysis showed that psychological stress(OR=1.062),participation(OR=1.060),lifestyle(OR=1.055),C-reactive protein(OR=1.183),low density lipoprotein cholesterol(OR=1.567)had predictive effects on MACE(P<0.05).Conclusions Medical staff should pay attention to health education for patients with coronary heart disease and encourage them to adopt a healthy lifestyle so as to reduce the occurrence of MACE.
作者
徐琳
曲永萍
李丽辉
Xu Lin;Qu Yongping;Li Lihui(Department of Cardiology,the First Affiliated Hospital of Harbin Medical University,Harbin 150001,China;Digestive Endoscopy Section 2,Digestive Disease Hospital,Heilongjiang Provincial Hospital,Harbin 150036,China)
出处
《中华现代护理杂志》
2019年第24期3133-3137,共5页
Chinese Journal of Modern Nursing
关键词
冠心病
健康行为
主要心脏不良事件
心理应激
参与活动
生活习惯
Coronary heart disease
Healthy behavior
Major adverse cardiac events
Psychological stress
Participation in activities
Living habits
