| 经皮冠状动脉介入术后患者心血管健康评分轨迹特征的研究 |
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| 引用本文： | 张睿,高学琴,林平,赵振娟,王旖旎. 经皮冠状动脉介入术后患者心血管健康评分轨迹特征的研究[J]. 中华护理杂志, 2022, 57(7): 816-822. DOI: 10.3761/j.issn.0254-1769.2022.07.008 |
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| 作者姓名： | 张睿 高学琴 林平 赵振娟 王旖旎 |
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| 作者单位： | 150086 哈尔滨市 哈尔滨医科大学附属第二医院心内科 |
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| 摘 要： | 目的 探讨经皮冠状动脉介入术(percutaneous coronary intervention,PCI)后患者心血管健康评分轨迹的特征.方法 采用方便抽样法,选取2019年5月—10月于哈尔滨市某三级甲等医院心内科首次行PCI且术后规律随访的急性心肌梗死患者339例,依据其术后基线、6个月、12个月的心血管健康评分...
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| 关 键 词： | 经皮冠状动脉介入术 心血管健康评分 急性心肌梗死 护理 |
| 收稿时间： | 2021-10-30 |
A research on the characteristics of cardiovascular health score trajectories in patients after percutaneous coronary intervention |
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| ZHANG Rui,GAO Xueqin,LIN Ping,ZHAO Zhenjuan,WANG Yini. A research on the characteristics of cardiovascular health score trajectories in patients after percutaneous coronary intervention[J]. Chinese Journal of Nursing, 2022, 57(7): 816-822. DOI: 10.3761/j.issn.0254-1769.2022.07.008 |
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| Authors: | ZHANG Rui GAO Xueqin LIN Ping ZHAO Zhenjuan WANG Yini |
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| Abstract: | Objective To investigate the characteristics of cardiovascular health score trajectories in patients after percutaneous coronary intervention（PCI）. Methods The convenience sampling method was used to recruit 339 acute myocardial infarction patients who underwent PCI for the first time in the cardiology department of a first-class tertiary hospital in Harbin from May to October 2019 with regular follow-up after PCI. We used the group-based trajectory model to identify the heterogeneous trajectory groups of cardiovascular health score based on the baseline,6 months and 12 months follow-up. The Cox proportional risk regression model was used to analyze the effect of trajectory groups and major adverse cardiac events（MACE）. Results 5 cardiovascular health score trajectories were identified as low-increasing group（19.8%）,medium-declining and then increasing group（24.8%）,medium-rapid increasing group（14.4%）,medium-stable group（31.9%）,high-stable group（9.1%）. Cox proportional risk regression model showed that,after adjustment for potential confounding factors（age,sex,high-density lipoprotein cholesterol and alcohol consumption）,the risk of MACE in medium-declining first and then increasing group,medium-rapid increasing group,medium-stable group and high-stable group were 0.498（P=0.033）,0.446（P=0.049）,0.403（P=0.006） and 0.259（P=0.030） times of low-increasing group,respectively. Conclusion Acute myocardial infarction patients after PCI for a year showed various cardiovascular health score trajectories;the improvement and maintainance of a high level of cardiovascular health score were negatively correlated with the risk of MACE. Medical staff can monitor the characteristics of cardiovascular health score changes dynamically,strengthen risk factor management and adopt early intervention methods to improve prognosis. |
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| Keywords: | Percutaneous Coronary Intervention Cardiovascular Health Score Acute Myocardial Infarction Nursing Care |
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