目的 探究经皮冠状动脉介入术(percutaneous coronary intervention,PCI)患者健康跨期决策偏好与金钱跨期决策偏好的相关性,并进一步分析其健康跨期决策偏好特征对心血管健康行为的影响.方法 选取2021年9月～2022年3月哈尔滨市某三级甲等医院心内科232例PCI患者为研究对象,采用不同损失情境下的金钱和健康跨期选择任务问卷,分别调查患者在面对金钱和健康损失情景(面对未来可能出现的心脏不良事件进行的戒烟、合理膳食和规律运动的选择)时的跨期决策折扣率,分析健康跨期决策偏好与金钱跨期决策偏好的相关性;同时应用心血管健康评分(cardiovascular health score,CHS)对其健康行为进行评价,采用Logistic回归分析跨期决策偏好对CHS的影响.结果 PCI患者的健康跨期决策(戒烟、合理膳食和规律运动)折扣率与金钱跨期决策折扣率之间存在相关性(r=0.246,0.301,0.262,P均＜0.05).单因素结果显示,患者文化程度、金钱跨期决策折扣率和健康跨期决策折扣率影响CHS(P＜0.05);进一步Logistic回归分析显示,健康跨期决策折扣率影响CHS(P＜0.05).结论 PCI患者健康跨期决策偏好与金钱跨期决策偏好具有相关性,能够反映出个体的跨期决策偏好;健康跨期决策偏好是心血管健康行为的独立影响因素.
Effect of health intertemporal decision-making preference on cardiovascular health behavior in patients after PCI
Objective To investigate the correlation between health intertemporal decision-making preference and money intertemporal decision-making preference in patients after percu-taneous coronary intervention(PCI),and to further analyze the effects of the characteristics of health intertemporal decision-making preference on cardiovascular health behavior.Methods From September 2021 to March 2022,232 PCI patients who met the inclusion criteria in the Cardiology Department of a Grade-Ⅲ hospital in Harbin City were selected.A total of 232 pa-tients with coronary heart disease who underwent PCI for the first time were selected by the con-venience sampling method.The intertemporal choice task questionnaire of money and health under different loss scenarios was used to investigate the intertemporal decision discount rate of patients in the situation of money and health loss(the choice of quitting smoking,reasonable diet,and regular exercise in the face of possible future cardiac adverse events).The correla-tion between health intertemporal decision-making preference and money intertemporal decision-making preference was analyzed.At the same time,the cardiovascular health score(CHS)was used to evaluate their health behavior,and the influence of intertemporal decision-making pref-erence on CHS was analyzed by Logistic regression.Results There was a correlation between the discount rate of health intertemporal decisions(quitting smoking,reasonable diet,and reg-ular exercise)and the discount rate of intertemporal money decisions in PCI patients(r=0.246,0.301,0.262,P＜0.05).Univariate results showed that patients'education level,intertemporal decision-making discounting rate of money,and intertemporal decision-making discounting rate of health affected CHS(P＜0.05).Further Logistic regression analysis showed that the health intertemporal decision-making discount rate affected CHS(P＜0.05).Conclusion The intertemporal decision-making preference of health and money in PCI pa-tients is correlated,which can reflect the individual's intertemporal decision-making prefer-ence.Health intertemporal decision-making preference is an independent influencing factor of cardiovascular health behavior.
万方数据
维普
