老年冠心病心绞痛患者PCI术后健康素养与疾病感知的相关性

Correlation Between Health Literacy and Disease Perception After PCI in Elderly Patients with Coronary Heart Disease and Angina Pectoris

目的分析老年冠心病心绞痛患者经皮冠状动脉介入治疗(PCI)术后健康素养与疾病感知的相关性。方法选取新郑市人民医院2018年10月至2020年12月老年冠心病心绞痛患者147例,收集患者经济收入水平、婚姻状况、受教育程度、心功能水平、合并症数量等一般资料,以健康素养调查问卷评估患者PCI术后健康素养,以疾病感知问卷中文修订版(CIPQ-R)评估患者疾病感知情况,统计老年冠心病心绞痛患者一般资料调查结果,比较老年冠心病心绞痛患者与全国常模健康素养得分,比较不同水平健康素养老年冠心病心绞痛患者疾病感知情况,分析健康素养与疾病感知的相关性并进行影响因素分析。结果老年冠心病心绞痛患者健康素养得分中基本保健素养、安全与急救素养、疾病预防与控制素养及总分均低于全国常模,差异有统计学意义(P<0.05);不同水平健康素养老年冠心病心绞痛患者CIPQ-R评分比较差异有统计学意义,且健康素养评分越高CIPQ-R评分越高,差异有统计学意义(P<0.05);老年冠心病心绞痛患者健康素养与疾病感知呈正相关关系,差异有统计学意义(P<0.05);健康素养是老年冠心病心绞痛患者疾病感知的影响因素,差异有统计学意义(P<0.05)。结论老年冠心病心绞痛患者PCI术后健康素养与疾病感知存在正相关关系,临床护理人员应通过综合方式提高患者健康素养及疾病感知,增强患者治疗信心,降低疾病不确定感,以达到改善患者预后、降低再入院率的目的。

Objective To analyze the correlation between health literacy and disease perception in elderly patients with coronary heart disease and angina pectoris after percutaneous coronary intervention(PCI).Methods A total of 147 elderly patients with coronary heart disease and angina pectoris in Xinzheng People's Hospital from October 2018 to December 2020 were selected.The health literacy questionnaire was used to evaluate the health literacy of patients after PCI,and Chinese illness perception questionnaire revised(CIPQ-R)was used to evaluate the disease perception of patients.The health literacy scores of patients with heart disease and angina pectoris and the national norm were compared.The disease perception of elderly patients with coronary heart disease and angina pectoris with different levels of health literacy was compared.The correlation between health literacy and disease perception was analyzed,and the influencing factors were analyzed.Results The health literacy scores of elderly patients with coronary heart disease and angina pectoris were lower than the national norm,and the difference was statistically significant(P<0.05).Health literacy elderly patients with coronary heart disease and angina pectoris had a statistically significant difference in CIPQ-R score,and the higher the health literacy score,the higher the CIPQ-R score,and the difference was statistically significant(P<0.05).There was a positive correlation between health literacy and disease perception in patients with coronary heart disease and angina pectoris,and the difference was statistically significant(P<0.05).Conclusion There is a positive correlation between health literacy and disease perception in elderly patients with coronary heart disease and angina pectoris after PCI.Clinical nurses should improve patients,health literacy and disease perception through comprehensive methods,enhance patients’confidence in treatment,and reduce disease uncertainty,so as to improve patient outcomes and reduce readmission rate.