老年冠心病行冠脉搭桥术后患者社会疏离现状及影响因素

Status of Social Alienation and Its Influencing Factors in Elderly Patients with Coronary Heart Disease After Coronary Artery Bypass Graft

目的调查老年冠心病冠脉搭桥术后患者社会疏离现状并探讨其影响因素。方法采用患者一般资料问卷、家庭关怀度指数问卷(APGAR)、冠心病自我管理行为量表(CSMS)、一般疏离感量表(GAS)对223例老年冠心病冠脉搭桥术后患者进行调查。结果老年冠心病冠脉搭桥术后患者社会疏离总分(40.61±7.83)分;多因素分析显示,居住状态、受教育程度、病程、家庭功能、自我管理水平是影响老年冠心病冠脉搭桥术后患者社会疏离的重要因素(P<0.05),可解释总变异的30.3%。结论老年冠心病冠脉搭桥术后患者社会疏离水平较高,独居者、受教育程度低、病程较短、家庭功能差、自我管理水平低的患者社会疏离水平更高。

Objective To investigate the status of social alienation and its influencing factors in elderly patients with coronary heart disease after coronary artery by pass graft surgery.Methods A total of 223 elderly patients with coronary heart disease after coronary artery by pass graft surgery were investigated by using the elderly coronary heart disease general data questionnaire,family adaptation,partnership,growth,affection and resolve(APGAR),coronary artery disease self-management scale(CSMS),general alienation scale(GAS).Results The total score of social alienation in elderly patients with coronary heart disease after coronary artery by pass graft surgery was(40.61±7.83)points.Multiple linear regression analysis showed that dwelling state,education level,course of the disease,family function and self-management were the influential factors of social alienation(P<0.05),which could explain 30.3%of the total variation.Conclusion Elderly patients with coronary heart disease after surgery have a high level of social alienation.Solitary,low education level,short course of illness,poor family functioning and low level of self-management have higher levels of social alienation.