首次行经皮冠状动脉支架植入术后患者自我管理能力现状及影响因素的调查

Investigation of current self-management ability and influencing factors for patients with the first percutaneous coronary artery stent implementation

目的：调查首次行经皮冠状动脉支架植入术（ PCI）后患者自我管理能力现状及影响因素。方法采用便利抽样法，选取2013年12月—2014年6月在上海市某三级甲等医院心内科住院、首次行PCI术后1周内的患者140例为研究对象，采用冠心病自我管理行为量表和一般资料调查表对患者进行调查。对数据进行两独立样本t检验、单因素方差分析和多元线性回归分析。结果首次行PCI术后患者自我管理能力总分为（73.11±14.81）分，得分率为54.16%。自我管理能力受年龄、职业、文化程度、吸烟等因素的影响。结论首次行PCI术后患者自我管理能力呈中等偏下水平，并受多方面因素的影响，护理人员应加强对该人群患者及家属的健康教育，制订有针对性的自我管理健康教育方案，为其进行长期的术后自我管理提供基础条件。

Objective To explore the investigation of current self-management and influencing factors for patients with first percutaneous coronary artery stent implementation （ PCI ） . Methods Behavior self-management questionnaire of coronary disease and general information scale were used in 140 patients within a week after first time of PCI, and all data was analyzed by two independent samples t test, single factor analysis of variance and multiple liner regression analysis. Results Total score of self-management after first PCI was （73. 11 ± 14. 81）, with a scoring average of 54. 16%. Patient′s self-management was affected by following factors including age, occupation, education smoking, and so on. Conclusions Patient′s self-management after PCI remains at low to medium level and was influenced by multiple factors. Nursing staffs should strengthen patients and relative′s health education, make out countermeasure for self-management health education, especially for the long term cornerstone of postoperative self-management.