冠心病经皮冠状动脉介入治疗术后患者主动沟通的相关因素研究

Study on the related factors of active communication in patients with coronary heart disease after percutaneous coronary intervention

目的分析冠心病经皮冠状动脉介入治疗(PCI)术后患者主动沟通的状况及其影响因素。方法对2018年3月—2019年2月在上海交通大学附属第六人民医院行PCI的1249例患者进行调查。根据患者是否在术后90 d内主动登录微信平台进行沟通,将患者分为主动沟通组(285例)和未主动沟通组(964例)。结果低龄(OR 1.256,P=0.023)、男性(OR 1.304,P=0.018)、单支血管病变(OR 1.673,P=0.044)、手术时机为急诊(OR 1.783,P=0.005)、吸烟(OR 1.457,P<0.001)是影响患者沟通的独立危险因素。结论应针对性改善导致患者不沟通的因素,提高医疗满意度。

Objective To analyze the active communication status and the related influencing factors of patients after percutaneous coronary intervention(PCI).Methods A total of 1249 patients who underwent PCI from March 2018 to February 2019 in the Sixth People’s Hospital Affiliated to Shanghai Jiaotong University were investigated.According to whether they logged on the WeChat platform for communication within 90 days after surgery,the patients were divided into actively communicated group(285 cases)and non-actively communicated group(964 cases).Results Younger age(OR 1.256,P=0.023),male(OR 1.304,P=0.018),single vessel disease(OR 1.673,P=0.044),emergency operation time(OR 1.783,P=0.005)and smoking(OR 1.457,P<0.001)were independent risk factors affecting patients’communication.Conclusions The factors leading to patients’non-communication should be improved for better medical satisfaction.