CAJ | 학술논문

目的：调查冠脉介入治疗术（ PCI ）后患者的疾病感知状况。方法采用一般资料调查表、疾病感知问卷修订版对95例PCI术后患者进行问卷调查。结果①PCI术后患者的疾病感知得分：症状识别部分平均得分4.87±3.50；病情认知部分各维度平均得分由高到低依次是：病程（3.68±1.10）分，个人控制（3.59±0.83）分，治疗控制（3.54±0.65）分，疾病一致性（3.02±1.04）分，后果（2.79±0.87）分，情感陈述（2.24±0.86）分，周期性（1.92±1.06）分；疾病归因部分得分最高的前五位依次是食物或进食习惯、高血压、肥胖或超重、高血脂症、衰老。②病情认知各维度间存在相关关系。结论 PCI术后患者的症状识别能力较低，病情认知、疾病归因情况总体较好，但对冠心病疾病知识了解不够。医护人员应给予针对性的冠心病知识教育，提高症状识别水平及冠心病知识水平。
목적：조사관맥개입치료술（ PCI ）후환자적질병감지상황。방법채용일반자료조사표、질병감지문권수정판대95례PCI술후환자진행문권조사。결과①PCI술후환자적질병감지득분：증상식별부분평균득분4.87±3.50；병정인지부분각유도평균득분유고도저의차시：병정（3.68±1.10）분，개인공제（3.59±0.83）분，치료공제（3.54±0.65）분，질병일치성（3.02±1.04）분，후과（2.79±0.87）분，정감진술（2.24±0.86）분，주기성（1.92±1.06）분；질병귀인부분득분최고적전오위의차시식물혹진식습관、고혈압、비반혹초중、고혈지증、쇠로。②병정인지각유도간존재상관관계。결론 PCI술후환자적증상식별능력교저，병정인지、질병귀인정황총체교호，단대관심병질병지식료해불구。의호인원응급여침대성적관심병지식교육，제고증상식별수평급관심병지식수평。
Objective To describe the illness perception status of patients undergoing percutaneous coronary intervention ( PCI ) . Methods The questionnaire for general materials and the Revised Illness Perception Questionnaire were used to investigate 95 patients undergoing PCI.Results ①The average score of identity of patients undergoing PCI was 4.87 ±3.50.In the part of illness representa-tion,average scores of seven subscales were listed from high to low as follows:Timeline ( acute/chronic) 3.68 ±1.10, personal control 3.59 ±0.83,treatment control 3.54 ±0.65, illness coherence 3.02 ±1.04, consequences 2.79 ±0.87, emotional repesentation 2.24 ±0.86,timeline cyclical 1.92 ±1.06.In the part of causes,five items with the highest scores were diet or eating habit ,hypertention, obesity or overweight , hyperlipidemia and aging .②Several dimensions of illness representation were correlated with each other .Conclu-sion Identity of patients with CHD undergoing PCI was low generally .Their status of illness representation and disease attribution was good generally but they reported to have poor understanding of coronary heart disease .Health service staff should provide the patients with individualized education about coronary heart disease to improve their levels of identity and disease knowledge .