冠心病介入治疗患者术后健康素养水平调查及其影响因素分析

Survey on Postoperative Health Literacy Level of Patients with Coronary Artery Heart Disease Undergoing Interventional Therapy and Analysis of Its Influencing Factors

目的:探讨冠心病介入治疗患者术后健康素养水平及其影响因素。方法:选择2022年2月—2024年1月在九江市第一人民医院行介入治疗的100例冠心病患者。收集患者一般资料,调查患者术后健康素养水平,并分析影响患者健康素养的因素。结果:冠心病介入治疗患者术后慢性病患者健康素养量表(HeLMS)总分为(75.82±10.06)分。单因素分析显示:不同年龄、受教育程度、月收入、社会支持水平、自我管理能力冠心病介入治疗患者术后健康素养水平比较,差异均有统计学意义(P<0.05);不同居住地、性别、职业状况、植入支架数量、婚姻状况、病程、家族史、合并慢性病种类冠心病介入治疗患者术后健康素养水平比较,差异均无统计学意义(P>0.05)。多元线性回归分析显示:高龄、受教育程度低、月收入低、社会支持水平低、自我管理能力水平低是影响冠心病介入治疗患者术后健康素养水平的因素(P<0.05)。结论:冠心病介入治疗患者术后健康素养处于中等水平,其受患者年龄、受教育程度、月收入、社会支持、自我管理能力的影响。

Objective:To explore the postoperative health literacy level of patients with coronary artery heart disease undergoing interventional therapy and analysis of its influencing factors.Method:A total of 100 patients with coronary heart disease who underwent interventional therapy in Jiujiang NO.1 People's Hospital from February 2022 to January 2024 were selected.The general data of patients were collected,the level of postoperative health literacy of patients were investigated,and the factors affecting health literacy of patients were analyzed.Result:The total score of postoperative health literacy management scale(HeLMS)in patients with coronary artery heart disease undergoing interventional therapy was(75.82±10.06)scores.Univariate analysis showed that there were significant differences in postoperative health literacy level among patients with coronary artery heart disease undergoing interventional therapy of different age,education level,monthly income,social support level and self-management ability(P<0.05).There were no significant differences in postoperative health literacy among patients with coronary artery heart disease undergoing interventional therapy of different places of residence,gender,occupational status,number of stent implantation,marital status,course of disease,family history and types of combined chronic diseases(P>0.05).Multiple linear regression analysis showed that old age,low education level,low monthly income,low level of social support and low level of self-management ability were factors affecting the level of postoperative health literacy in patients with coronary artery heart disease undergoing interventional therapy(P<0.05).Conclusion:The postoperative health literacy level of patients with coronary artery heart disease undergoing interventional therapy is in the middle level,which is affected by patients'age,education level,monthly income,social support and selfmanagement ability.