经皮冠状动脉介入术后自我管理行为现状及影响因素分析

目的调查经皮冠状动脉介入治疗(PCI)后自我管理行为现状,分析其影响因素。方法选择我院2017年1月至2018年12月收治的150例冠心病行PCI治疗的患者为研究对象,采用冠心病自我管理量表(CSMS)调查自我管理行为,分析不同性别、家庭月收入、受教育程度、居住现状、疾病感知、应对方式、家庭功能、年龄等对CSMS评分的影响,通过多元线性回归分析PCI术后自我管理行为的影响因素。结果自我管理行为总分(81.48±11.76)分,疾病管理评分最低,其次为生活管理与情绪管理。单因素分析显示,受教育程度、居住现状、疾病感知、应对方式、家庭功能、年龄、家庭月收入、工作状态是影响PCI术后自我管理行为的相关因素(P<0.05)。多元线性回归分析显示,受教育程度、居住现状、疾病感知、应对方式、家庭功能是影响PCI术后自我管理行为的独立危险因素(P<0.05)。结论PCI术后自我管理行为处于中低水平,其中疾病管理评分最低,且自我管理行为受受教育程度、居住现状、疾病感知、应对方式、家庭功能的影响。

Analysis of the status and influencing factors for self-management behavior after percutaneous coronary intervention

Objective To investigate the status of self-management behavior after percutaneous coronary intervention(PCI)and analyze its influencing factors.Methods We selected 150 cases of patients with coronary heart disease who were treated with PCI in our hospital from January 2017 to December2018 as the study subjects.The self-management behavior was investigated by coronary artery disease self-management scale(CSMS)to analyze the influence factors of CSMS score associated with the gender,monthly family income,education level and living status,disease perception,coping style,family function,age and so on.Multivariate linear regression was used to analyze the influencing factors of self-management behavior after PCI.Results The total score of self-management behavior was(81.48±11.76)points,and the disease management score was the lowest,followed by life management and emotional management.Univariate analysis showed that the education level,living status,disease perception,coping style,family function,age,monthly family income,and work status were related factors that affect self-management behavior after PCI(P<0.05).Multiple linear regression analysis showed that the education level,living status,disease perception,coping style and family function were independent risk factors that affect self-management behavior after PCI(P<0.05).Conclusion The self-management behavior after PCI was at a low level,among which the disease management score was the lowest,and self-management behavior was affected by education level,living status,disease perception,coping style and family function.