首页|不稳定心绞痛老年住院患者经皮冠状动脉介入术后生活质量影响因素研究

不稳定心绞痛老年住院患者经皮冠状动脉介入术后生活质量影响因素研究

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目的 分析影响不稳定心绞痛(Unstable Angina,UA)老年住院患者经皮冠状动脉介入术(Percu-taneous Coronary Intervention,PCI)后生活质量的影响因素.方法 采用方便抽样方法选取部分UA老年住院患者进行调查.采用多元线性回归模型分析影响UA老年住院患者PCI术后生活质量的主要因素,采用方差分析、Pearson相关分析法分析其生活质量得分与健康素养各项得分间的关系.结果 UA老年住院患者PCI术后生活质量平均得分为(103.76±14.38)分.多元线性回归分析结果显示,年龄>79岁(β=5.829)、初中及以下文化程度(β=5.264)、家庭人均月收入<3000元(β=4.064)、非医保付费方式(β=7.103)、无运动训练(β=6.182)、未规律服药(β=8.176)是影响UA老年住院患者PCI术后生活质量的主要因素(P<0.05).方差分析结果显示,UA老年住院患者的信息获取能力、交流互动能力、改善健康意愿、经济支持意愿得分均随其生活质量评分降低而降低(P<0.05).Pearson相关分析结果显示,UA老年住院患者信息获取能力、交流互动能力、改善健康意愿、经济支持意愿各维度得分均与其生活质量评分呈正相关(P<0.05).结论 影响UA老年住院患者PCI术后生活质量的因素较多,且生活质量与其健康素养各项得分均呈正相关.
Influencing factors of quality of life and its relationship with health literacy among elderly inpatient with unsta-ble angina pectoris after percutaneous coronary intervention
Objective To analyze the factors associated with quality of life in elderly hospitalized patients with un-stable angina pectoris(UA)after percutaneous coronary intervention(PCI).Methods The elderly hospitalized patients with UA after PCI were selected by convenient sampling method.Multiple linear regression model was used to analyze the main factors associated with the quality of life among elderly inpatients with UA after PCI.ANOVA and Pearson correlation a-nalysis were used to analyze the relationship between the quality of life and health literacy.Results The average score of quality of life after PCI was(103.76±14.38)in elderly hospitalized patients with UA.The results of multiple linear regres-sion analysis showed that age above 79 years old(β=5.829),education level with junior high school or below(β=5.264),per capita family income under 3000 yuan(β=4.064),non-medical insurance payment method(β=7.103),no exercise training(β=6.182),and irregular medication(β=8.176)were the main influence factors of quality of life(P<0.05).The results of ANOVA showed that the scores of information acquisition ability,communication and interaction ability,health improvement intention and financial support intention of elderly hospitalized patients with UA were all de-creased with the decreasing of their score of life quality(P<0.05).The results of Pearson correlation analysis showed that the scores of information acquisition ability,communication and interaction ability,intention to improve health and econom-ic support were positively correlated with the scores of quality of life of elderly hospitalized patients(P<0.05).Conclusion There were many factors associated with the quality of life among elderly inpatient with UA after PCI.The scores of health literacy of patients were positively correlated with quality of life.

ElderlyUnstable anginaPercutaneous coronary interventionQuality of lifeInfluencing factors

张丽萍、丁雯、陆静钰、孙吉、孙芳、哈琳

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宁夏医科大学总医院,宁夏 银川 750001

老年 不稳定心绞痛 经皮冠状动脉介入术 生活质量 影响因素

宁夏医科大学科研项目(2020)宁夏回族自治区重点研发计划(2022)

XM20201922022BEG03093

2024

中国健康教育
中国健康教育中心 中国健康促进与教育协会

中国健康教育

CSTPCD北大核心
影响因子:1.261
ISSN:1002-9982
年,卷(期):2024.40(2)
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