CAJ | 학술논문

目的：调查首次行经皮冠状动脉支架植入术( PCI)后患者自我管理能力现状及影响因素。方法采用便利抽样法，选取2013年12月—2014年6月在上海市某三级甲等医院心内科住院、首次行PCI术后1周内的患者140例为研究对象，采用冠心病自我管理行为量表和一般资料调查表对患者进行调查。对数据进行两独立样本t检验、单因素方差分析和多元线性回归分析。结果首次行PCI术后患者自我管理能力总分为(73.11±14.81)分，得分率为54.16%。自我管理能力受年龄、职业、文化程度、吸烟等因素的影响。结论首次行PCI术后患者自我管理能力呈中等偏下水平，并受多方面因素的影响，护理人员应加强对该人群患者及家属的健康教育，制订有针对性的自我管理健康教育方案，为其进行长期的术后自我管理提供基础条件。
목적：조사수차행경피관상동맥지가식입술( PCI)후환자자아관리능력현상급영향인소。방법채용편리추양법，선취2013년12월—2014년6월재상해시모삼급갑등의원심내과주원、수차행PCI술후1주내적환자140례위연구대상，채용관심병자아관리행위량표화일반자료조사표대환자진행조사。대수거진행량독립양본t검험、단인소방차분석화다원선성회귀분석。결과수차행PCI술후환자자아관리능력총분위(73.11±14.81)분，득분솔위54.16%。자아관리능력수년령、직업、문화정도、흡연등인소적영향。결론수차행PCI술후환자자아관리능력정중등편하수평，병수다방면인소적영향，호리인원응가강대해인군환자급가속적건강교육，제정유침대성적자아관리건강교육방안，위기진행장기적술후자아관리제공기출조건。
Objective To explore the investigation of current self-management and influencing factors for patients with first percutaneous coronary artery stent implementation ( PCI ) . Methods Behavior self-management questionnaire of coronary disease and general information scale were used in 140 patients within a week after first time of PCI, and all data was analyzed by two independent samples t test, single factor analysis of variance and multiple liner regression analysis. Results Total score of self-management after first PCI was (73. 11 ± 14. 81), with a scoring average of 54. 16%. Patient′s self-management was affected by following factors including age, occupation, education smoking, and so on. Conclusions Patient′s self-management after PCI remains at low to medium level and was influenced by multiple factors. Nursing staffs should strengthen patients and relative′s health education, make out countermeasure for self-management health education, especially for the long term cornerstone of postoperative self-management.