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冠脉搭桥术后患者自我超越水平状况对心功能恢复的影响

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目的 探讨冠脉搭桥术后患者自我超越水平状况对心功能恢复的影响。方法 选取平顶山市第二人民医院2021年4月至2022年12月收治的104例拟行冠脉搭桥术的冠心病患者作为研究对象。应用一般基线资料调查表、自我超越量表(STS)、冠心病自我管理行为量表(CSMS)、Morisky用药依从性量表(MMAS-8)调查患者情况,并记录术后6个月返院复查时患者的左心室射血分数(LVEF),分析自我超越水平对心功能恢复的影响。结果 104例冠脉搭桥术后患者的STS评分为35~58分,平均(45。78±5。19)分。STS>45分组的CSMS、MMAS-8 评分显著高于 STS≤45 分组(P<0。05)。STS>45 分组的 LVEF 为(48。20±4。96)%,高于 STS≤45分组的(44。38±4。53)%,差异具有统计学意义(t=4。113,P<0。001)。线性回归分析结果显示,术后自我超越水平、自我管理能力和服药依从性可影响冠脉搭桥术后患者的心功能恢复(P<0。05)。结论 冠脉搭桥术后患者自我超越水平可对心功能恢复产生影响,自我超越水平越高术后心功能恢复越好。
Effect of self-transcendence level on cardiac function recovery in patients after coronary artery bypass grafting
Objective To explore the effect of self-transcendence level on cardiac function recovery in patients after coronary artery bypass grafting.Methods A total of 104 patients with coronary heart disease who underwent coronary artery bypass grafting in Pingdingshan the Second People's Hospital from April 2021 to December 2022 were selected as the study objects.The general baseline data questionnaire,Self-Transcendence Scale(STS),Coronary Self-Management Scale(CSMS)and 8-Item Morisky Medicationa Adherence Scale(MMAS-8)were used to investigate the patients'condition,the left ventricular ejection fraction(LVEF)was recorded when the patient returned to the hospital for reexamination at 6 months after operation,and the effect of self-transcendence level on the cardiac function recovery was analyzed.Results The STS score of 104 patients after coronary artery bypass grafting was 35-58 points,with an average of(45.78±5.19)points.The CSMS and MMAS-8 scores of the STS>45 point group were significantly higher than those of the STS≤45 point group(P<0.05).The LVEF of the STS>45 point group was(48.20±4.96)%,which was higher than(44.38±4.53)%of the STS ≤45 point group,and the difference was statistically significant(t=4.113,P<0.001).Linear regression analysis results showed that postoperative self-transcendence level,self-management ability and medication compliance could affect the cardiac function recovery in patients after coronary artery bypass grafting(P<0.05).Conclusion The level of self-transcendence of patients after coronary artery bypass grafting can affect the cardiac function recovery.The higher the level of self-transcendence,the better the cardiac function recovery after operation.

coronary artery bypass graftingself-transcendencecardiac functionself-management abilitymedication compliance

宁彩玲

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平顶山市第二人民医院外科,河南平顶山,467000

冠脉搭桥术 自我超越 心功能 自我管理能力 服药依从性

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(12)
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