摘要
目的探究经皮冠状动脉介入术(percutaneous coronary intervention,PCI)术后患者健康促进行为的潜在剖面类别,并分析其影响因素,为制定针对性干预措施提高PCI术后患者健康促进行为提供参考。方法采用便利抽样法,选取2024年2月—5月在四川省某三级甲等综合医院心血管内科进行PCI手术的242例患者作为研究对象。使用一般资料调查表、健康促进生活方式量表(health-promoting lifestyle profile-Ⅱ,HPLP-II)、慢性病患者健康素养量表(health literacy management scale,HeLMS)、领悟社会支持量表(perceived social support scale,PSSS)进行调查。对PCI术后患者健康促进行为进行潜在剖面分析,并通过单因素分析和多元Logistic回归分析探讨其影响因素。结果共230例PCI术后患者完成研究。潜在剖面分析结果显示,PCI术后患者健康促进行为可分为“低健康促进-行为不佳组”(n=71,30.9%)“中等健康促进行为组”(n=53,23.0%)“高健康促进-积极行为组”(n=106,46.1%)3个潜在剖面类别;多元Logistic回归分析显示,医疗付费方式、合并慢性病个数、是否接受过慢性病相关知识指导、健康素养、领悟社会支持是PCI术后患者健康促进行为潜在剖面的影响因素(均P<0.05)。结论PCI术后患者健康促进行为具有明显的分类特征。护理人员应针对各类别特点及影响因素,制定个性化干预策略,提高PCI术后患者健康素养及领悟社会支持水平,进而提升其健康促进行为。
Objective To explore the potential cross-sectional categories of health promotion behaviors in patients after PCI and analyze their influencing factors,so as to provide a reference for formulating targeted interventions to improve health promotion behaviors in patients after PCI.Methods A total of 242 patients who underwent PCI surgery in the Department of Cardiovascular Medicine of a tertiary hospital in Sichuan Province from February to May 2024 were selected by convenience sampling method.The general information questionnaire,the health promotion lifestyle scale,the health literacy scale for patients with chronic diseases,and the perceived social support scale were used to conduct the survey.The potential profile analysis of health promotion behaviors in patients after PCI was carried out,and the influencing factors were explored by univariate analysis and multiple logistic regression analysis.Results A total of 230 patients after PCI completed the study.The results of potential profile analysis showed that the health promotion behaviors of patients after PCI could be divided into three potential profiles:“low health promotion-poor behavior group”(n=71,30.9%),“medium health promotion behavior group”(n=53,23.0%),and“high health promotion-positive behavior group”(n=106,46.1%).Logistic regression analysis showed that medical payment methods,the number of chronic diseases,whether they had received chronic disease-related knowledge guidance,health literacy,and social support were the influencing factors of the potential profile of health promotion behaviors of patients after PCI(all P<0.05).Conclusion The health promotion behaviors of patients after PCI have obvious categorical characteristics.Nursing staff should formulate personalized intervention strategies according to the characteristics and influencing factors of each category,improve the health literacy and comprehension of social support of patients after PCI,and then improve their health promotion behaviors.
作者
李雨欣
吴际军
钟晓莉
周芳明
代萍
范雨婷
何琳
Li Yuxin;Wu Jijun;Zhong Xiaoli;Zhou Fangming;Dai Ping;Fan Yuting;He Lin(School of Nursing,North Sichuan Medical University,Nanchong 637000,Sichuan Province,China;Department of Cardiology,,Sichuan Province,China.;Department of Nursing,Sichuan Province,China.;Hospital Office of Deyang People’s Hospital,Deyang 618000,Sichuan Province,China.)
出处
《现代临床护理》
2025年第6期32-41,共10页
Modern Clinical Nursing
基金
四川省卫健委科研课题,项目编号为23LCYJ046
四川省老年学学会2024年年度课题,项目编号为24SCLN041。
关键词
经皮冠状动脉介入术
健康促进行为
潜在剖面分析
横断面研究
percutaneous coronary intervention
health-promoting behaviors
latent profile analysis
cross-sectional study
