急性心肌梗死患者冠脉支架植入术后自我管理行为及影响因素分析

Analysis of self-management behavior and influencing factors in patients with acute myocardial infarction after coronary stent implantation

目的探讨急性心肌梗死患者冠脉支架植入术后的自我管理行为状况及其影响因素。方法将87例接受冠脉支架植入术治疗的急性心肌梗死患者设为研究对象,术后1个月末评估患者自我管理行为状况,采用自制量表调查入组患者的一般资料,分析急性心肌梗死患者冠脉支架植入术后自我管理行为的影响因素。结果入组患者有29例(33.3%)自我管理行为低水平,38例(43.7%)中等水平,20例(23.0%)高水平。受教育程度、疾病感知、家庭功能、抑郁程度是急性心肌梗死患者自我管理行为状况的影响因素(P<0.05)。结论急性心肌梗死患者冠脉支架植入术后自我管理行为水平偏低,受教育程度、疾病感知、家庭功能、抑郁程度是其因素影响,临床应重点关注并给予相应干预措施。

Objective To investigate the self-management behavior and influencing factors in patients with acute myocardial infarction(AMI)after coronary stent implantation.Methods A total of 87 patients with AMI who received coronary stent implantation were selected as the research object,and the self-management behavior status of the patients was evaluated at the end of one month after surgery.The general data of the enrolled patients were investigated by coronary artery disease self-management scale(CSMS),and the influencing factors of self-management behavior of AMI patients after coronary stent implantation were analyzed.Results Among the enrolled patients,29 patients(33.3%)had a low level of self-management behavior,38 patients(43.7%)had a moderate level,and 20 patients(23.0%)had a high level.Education level,disease perception,family function and depression were the influencing factors of self-management behavior in patients with AMI(P<0.05).Conclusions The level of self-management behavior of AMI patients after coronary stent implantation is low.Education level,disease perception,family function and depression are the influencing factors.Clinical attention should be paid to and corresponding intervention measures should be given.