影响中青年冠心病患者经皮冠状动脉介入治疗术后社会功能的危险因素

Risk Factors Affecting Social Function After Percutaneous Coronary Intervention in Young and Middle-Aged Patients with Coronary Heart Disease

目的分析影响中青年冠心病(CHD)患者经皮冠状动脉介入治疗(PCI)术后社会功能的危险因素。方法选取2019年10月至2021年10月于医院行PCI的98例中青年CHD患者,依据社会功能缺陷筛选量表(SDSS)分为正常组和缺陷组,收集患者的一般资料,分析影响中青年CHD患者PCI术后社会功能的危险因素。结果98例中青年CHD患者中,PCI术后共有35例(35.71%)出现社会功能缺陷;缺陷组文化程度初中及以下、家庭月收入<3000元、无医疗保险、伴糖尿病、发生过AMI的比率均高于正常组,差异有统计学意义(P<0.05);多因素Logistic回归分析显示,文化程度初中及以下、家庭月收入<3000元、无医疗保险、伴糖尿病、发生过急性心肌梗死(AMI)均是影响中青年CHD患者PCI术后社会功能的独立危险因素(P<0.05)。结论文化程度初中及以下、家庭月收入<3000元、无医疗保险、伴糖尿病、发生过AMI均是影响中青年CHD患者PCI术后社会功能的独立危险因素,临床应高度重视上述因素,采取针对性干预措施,帮助患者顺利回归家庭和社会。

Objective The risk factors affecting social function after percutaneous coronary intervention(PCI)in young and middle-aged patients with coronary heart disease(CHD)were analyzed.Methods 98 young and middle-aged CHD patients treated with PCI from October 2019 to October 2021 in the hospital were selected and divided into a normal group and a defective group according to the social disability screening schedule(SDSS).The general data were collected to analyze the risk factors affecting social function after PCI in young and middle-aged CHD patients.Results Among 98 young and middle-aged CHD patients,35 cases(35.71%)had social disability after PCI;the ratios of low education(junior middle school or lower),family monthly income<3000 yuan,no medical insurance,with diabetes and having occurred acute myocardial infarction(AMI)of the defective group were higher than those of the normal group,with statistically significant differences(P<0.05);multi-factor Logistic regression analysis results showed that low education(junior middle school or lower),family monthly income<3000 yuan,no medical insurance,with diabetes and having occurred AMI were independent risk factors affecting social function after PCI in young and middle-aged CHD patients(P<0.05).Conclusion Low education(junior middle school or lower),family monthly income<3000 yuan,no medical insurance,with diabetes and having occurred AMI are independent risk factors affecting social function after PCI in young and middle-aged CHD patients,and more attentions should be paid to the above factors and target measures should be taken to help patients return to family and society successfully in clinical practice.