急性心肌梗死经PCI治疗患者出院后自我护理能力的影响因素

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Abstract Objective To observe the self-care ability after discharge of patients with acute myocardial infarction (AMI) after percutaneous coronary intervention (PCI), and to analyze the influencing factors of self-care ability after discharge of patients. Methods A total of 200 patients who met the treatment criteria for PCI and received PCI were selected from Xuzhou Cancer Hospital, Jiangsu Province from June 2018 to June 2020. After discharge, the patients were followed up for three months. At the end of follow-up, the patients were divided into low level group (≤57 points, 81 cases) and medium high level group (≥58 points, 119 cases) according to their exercise of self-care agency scale scores. A general data questionnaire was used to record the baseline data of patients and were compared. The general self-efficacy scale (GSES) was used to evaluate their self-efficacy. Multivariate analysis was used to analyze the factors affecting the self-care ability of patients with AMI treated by PCI after discharge. Results Among the 200 patients, 81 cases (40.50%) had low self-care ability, 65 cases (32.50%) had moderate self-care ability, and 54 cases (27.00%) had high self-care ability. The proportion of negative emotions and one to two kinds of medication in the low level group were higher than those in the middle and high level group, and the difference was statistically significant (P ＜ 0.05). There were statistically significant differences in educational level and GSES scores between the two groups (P ＜ 0.05). Multivariate analysis showed that low education level, negative emotion and one or two kinds of medication were independent risk factors for low self-care ability of AMI patients treated with PCI (all OR ＞ 1, P ＜ 0.05), and high GSES score was the protective factor (OR ＜ 1, P ＜ 0.05). Conclusion The level of self-care ability of AMI patients with the treatment of PCI is low after discharge, which may be affected by the factors such as low educational level, negative emotion, less types of medication and low self-efficacy, clinical should focus on the above factors to give targeted intervention measures.

Key words： Acute myocardial infarction Percutaneous coronary intervention Self-care ability Negative emotion Cultural level

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	FENG Sili1 CHEN Yaqin1 SUN Hairong1 GUO Chunling2 LIU Mei2▲

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FENG Sili1 CHEN Yaqin1 SUN Hairong1 GUO Chunling2 LIU Mei2▲. Influencing factors of self-care ability after discharge of patients with acute myocardial infarction after PCI[J]. 中国医药导报, 2021, 18(21): 177-180,184.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I21/177

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