摘要
目的探讨冠心病PCI术后患者生活质量的影响因素及其延续性护理对策。方法选择我院2018年1—12月收治的冠心病PCI术患者200例作为研究对象,采用一般资料调查量表获取信息,借助西雅图心绞痛量表(SAQ)评价患者术后生活质量,对PCI术后患者生活质量影响因素进行多因素logistic回归分析,据此采取针对性延续护理对策。结果单因素分析显示,患者的年龄、婚姻状况、医疗费用支付、文化水平、合并症、吸烟与否、自护能力、社会支持、支架数量、服药依从性、疲乏是影响患者生活质量的相关因素;多因素logistic回归分析显示冠心病PCI术后患者生活质量的影响因素有年龄≥50岁、高中及以下学历、疲乏、合并症≥1种、吸烟、自护能力<100分、社会支持<22分、服药不依从。结论影响冠心病PCI术后患者生活质量受多因素影响,有年龄≥50岁、高中及以下学历、疲乏、合并症≥1种、吸烟、自护能力<100分、社会支持<22分、服药不依从,采用针对性延续性护理干预能提高患者生活质量。
Objective To explore the influencing factors of quality of life of patients with coronary heart disease after PCI and its continuous nursing strategies.Methods To select 200 cases of patients with coronary heart disease after PCI admitted to our hospital from January to December 2018 as the study objects.The general data survey scale was used to obtain information,and Seattle angina questionnaiire(SAQ)was used to evaluate the quality of life of patients after PCI.The quality of life of patients after PCI was implemented by multi-factor logistic regression analysis,based on this,the targeted continued nursing strategies were adopted.Results Univariate analysis showed that the patient's age,marital status,medical expenses,education level,complications,smoking or not,self-care ability,social support,number of stents,drug compliance,and fatigue were the related factors that affected the patient's quality of life.Multivariate logistic regression analysis showed that the influencing factors of the quality of life of patients with coronary heart disease after PCI were the age≥50 years old,high school education and below,fatigue,types of complications was≥1,smoking,self-care ability<100 points,social support<22 points,and non-compliance with medication.Conclusion The quality of life of patients with coronary heart disease after PCI was affected by multiple factors,including age≥50 years old,high school education and below,fatigue,types of complications was≥1,smoking,self-care ability<100 points,social support<22 points,and non-compliance with medication,so use of targeted continuous nursing intervention can improve the quality of life of patients.
出处
《护理实践与研究》
2020年第14期13-15,共3页
Nursing Practice and Research
关键词
冠心病
PCI术
生活质量
延续护理
Coronary heart disease
PCI
Quality of life
Continuous nursing
