CAJ | 학술논문

目的比较不同民族冠状动脉再狭窄患者在经皮冠状动脉介入术(percutaneous coronary intervention,PCI)后的遵医行为,分析其影响因素,为临床制定个性化的指导方案提供依据.方法对105例成功实施PCI后复查冠状动脉造影显示冠状动脉支架内再狭窄患者就其在PCI术后的遵医行为进行问卷调查,根据其母语种类将所有民族分为汉语言系民族和非汉语言系民族两组进行比较.结果汉语言系和非汉语言系民族患者遵医行为总分均>20,汉语言系民族患者遵医行为要好于非汉语言系民族患者(P<0.05);非汉语言系民族患者行为方式好于汉语言系民族患者,而饮食运动、定期复查维度差于汉语言系民族患者(P<0.05或P<0.01).影响汉语言系民族患者遵医行为的因素有文化水平、对疾病了解程度、经济收入和医疗费用支付方式,影响非汉语系民族患者遵医行为的因素有文化水平、家人关心程度、病程和医疗费用支付方式.结论105例冠状动脉再狭窄患者均存在较差的遵医行为,其中汉语言系民族患者遵医行为好于非汉语言系民族患者,影响不同民族患者遵医行为的因素也不尽相同,提示应根据不同民族的特点制定适宜的院外治疗方案,使各族患者都能掌握有关疾病控制、自我护理的相关知识与技能,提高遵医行为.
목적비교불동민족관상동맥재협착환자재경피관상동맥개입술(percutaneous coronary intervention,PCI)후적준의행위,분석기영향인소,위림상제정개성화적지도방안제공의거.방법대105례성공실시PCI후복사관상동맥조영현시관상동맥지가내재협착환자취기재PCI술후적준의행위진행문권조사,근거기모어충류장소유민족분위한어언계민족화비한어언계민족량조진행비교.결과한어언계화비한어언계민족환자준의행위총분균>20,한어언계민족환자준의행위요호우비한어언계민족환자(P<0.05);비한어언계민족환자행위방식호우한어언계민족환자,이음식운동、정기복사유도차우한어언계민족환자(P<0.05혹P<0.01).영향한어언계민족환자준의행위적인소유문화수평、대질병료해정도、경제수입화의료비용지부방식,영향비한어계민족환자준의행위적인소유문화수평、가인관심정도、병정화의료비용지부방식.결론105례관상동맥재협착환자균존재교차적준의행위,기중한어언계민족환자준의행위호우비한어언계민족환자,영향불동민족환자준의행위적인소야불진상동,제시응근거불동민족적특점제정괄의적원외치료방안,사각족환자도능장악유관질병공제、자아호리적상관지식여기능,제고준의행위.
Objective To study compliance behavior of patients from different ethnic groups in Xinjiang after percutaneous coronary intervention (PCI). Methods With cluster sampling, 105 coronary restenosis patients after stenting were divided into group of nationalities speaking Chinese and group of nationalities speaking other languages and then surveyed. Results The compliance behavior of group of nationalities speaking Chinese was better than that of group of nationalities speaking other languages (P<0.05). Behavior pattern of group of nationalities speaking other languages was better, while diet, exercise, and regular review were worse than those of group of nationalities speaking Chinese (P<0.05 or P<0.01). Factors exerting influence on compliance behavior of group of nationalities speaking Chinese included educational level, disease knowledge, income and medical insurance type while factors on group of nationalities speaking other languages educational level, care from families, course of disease, and medical insurance type (P<0.05). Conclusion The compliance behavior of coronary restenosis patients is poor. Factors influencing their compliance behavior are different in different nationalities. Appropriate extramural hospital treatment would promote the compliance behavior.