首次PCI术后患者自我感受负担现状及影响因素分析

Analysis of Self-perceived Burden and its Influencing Factors in Patients after the First PCI

目的:调查首次经皮冠状动脉介入治疗(PCI)术后患者自我感受负担(SPB)现状,并分析其影响因素,以期为临床护理干预提供参考依据。方法:采用一般资料调查表、自我感受负担量表及冠心病自我效能量表对204例首次PCI术后患者进行调查。结果:204例患者自我感受负担量表得分为(32.19±7.67)分,自我效能得分为(30.84±8.84)分,均处于中等水平;多元回归分析显示,医疗付费方式、对病情的了解程度、合并症数量、冠心病病程及自我效能为患者SPB的影响因素(P<0.05),共可解释SPB总变异的61.1%。结论:SPB在首次PCI术后患者中普遍存在,临床护理人员应针对相关因素采取干预措施,降低患者的SPB。

Objective:To investigate the status of patients' perceived burden(SPB)after the first percutaneous coronary intervention(PCI),and analyze the influencing factors,so as to provide reference for clinical nursing intervention.Methods:A total of 204 patients were investigated by general data questionnaire,self-perceived burden scale and coronary heart disease self-efficacy scale.Results:The scores of 204 patients in the self-perceived burden and self-efficacy scale were(32.19±7.67)and(30.84±8.84),which were all in the middle level.Multiple regression analysis showed that medical payment method,understanding of the disease,number of complications,course of coronary heart disease and self-efficacy were the influencing factors of SPB in patients( P <0.05),which could explain 61.1% of the total variation of SPB.Conclusion:SPB is common in patients after the first PCI,and clinical nurses should take intervention measures to reduce SPB of patients according to relevant factors.