冠状动脉支架植入术患者出院后合理生活方式影响因素的调查

Investigation on the infl uencing factors of reasonable lifestyle after discharge of coronary stent implantation patients

目的分析冠状动脉支架植入术患者出院后合理生活方式的影响因素,为制定有效的临床干预措施提供参考依据。方法选取医院2018年10月—2020年9月经皮冠状动脉支架植入术患者112例作为研究对象,采用健康促进生活方式量表-Ⅱ(HPLP-Ⅱ)评估患者出院后合理生活方式,分析性别、年龄、学历、婚姻状况、居住地、家庭收入、心理状态、冠心病病程、高血压、高血脂、糖尿病、医疗费用支付、术后时间是否为冠状动脉支架植入术患者出院后合理生活方式的影响因素。结果本组112例患者HPLP-Ⅱ均分为113.90±10.50分,处于一般水平,其中合理生活方式优良率仅为27.68%(31/112)。多元线性回归分析结果显示,年龄、学历、家庭收入、心理状态、高血压、糖尿病、术后时间是冠状动脉支架植入术患者出院后合理生活方式的影响因素。结论冠状动脉支架植入术患者出院后合理生活方式欠佳,其受到年龄、学历、家庭收入、心理状态、高血压、糖尿病、术后时间多因素综合影响,护理人员应采取针对性护理干预措施,帮助患者提高健康意识,改善术后生活方式及行为习惯,提高生存质量。

Objective To analyze the influencing factors of reasonable lifestyle after discharge of coronary stent implantation patients,and to provide reference for formulating effective clinical intervention measures.Methods A total of 112 patients with percutaneous coronary stent implantation in the hospital from October 2018to September 2020 were selected as the study subjects.Reasonable lifestyle of patients after discharge,analysis of gender,age,education level,marital status,residence,family income,psychological status,course of coronary heart disease,hypertension,hyperlipidemia,diabetes,medical expenses payment,and postoperative time were evaluated by health promoting lifestyle profi le-Ⅱ(HPLP-Ⅱ),whether the above items were the infl uencing factors of reasonable lifestyle of patients with coronary stent implantation after discharge.Results The average HPLPII score of 112 patients in this group was 113.90±10.50 points,which was at the general level,and the excellent and good rate of reasonable lifestyle was only 27.68%(31/112).Multiple linear regression analysis showed that the age,education level,family income,psychological status,hypertension,diabetes and postoperative time were the infl uencing factors of reasonable lifestyle after coronary stent implantation.Conclusion The reasonable lifestyle of patients with coronary stent implantation after discharge was not good.It was affected by multiple factors such as age,education level,family income,psychological status,hypertension,diabetesand postoperative time.Nursing staf f should take targeted nursing interventions to help patients improve their health awareness,improve postoperative lifestyle and behavior habits,and improve their quality of life.