| 王秋莉,虞舟,周琦.冠心病介入治疗患者自我护理能力与预后的相关性研究[J].上海护理,2019,19(3): |
| 冠心病介入治疗患者自我护理能力与预后的相关性研究 |
| Study of the correlation between self-care capability and prognosis of patients after percutaneous coronary intervention therapy |
| 投稿时间：2018-03-19 修订日期：2019-03-03 |
| DOI： |
| 中文关键词: 冠心病介入治疗 自我护理能力 心血管事件 预后 |
| 英文关键词:percutaneous coronary intervention therapy self-care capability major adverse cardiac events prognosis |
| 基金项目:上海交通大学医学院科技基金（项目编号：Jyh1501） |
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| 中文摘要: |
| 目的：了解冠心病介入治疗患者自我护理能力水平和短期生存状况，并分析两者的相关性。方法：选取在我院实施冠状动脉介入术（PCI）的冠心病患者120例，采用自我护理能力测定量表将患者的自我护理能力分为低水平组和中/高水平组；观察出院6个月内，2组患者心血管事件发生情况。结果：冠心病介入治疗患者自我护理能力处于中等水平；出院后6个月内，低水平组患者总心血管事件发生率高于中/高水平组患者，差异具有统计学意义（P＜0.05）；PCI术后患者主要心血管事件与自我护理能力呈相关性（OR = 10.586，95% CI：1.781-52.936，P< 0.05）。结论：患者的自我护理能力对PCI术后主要心血管事件有一定的影响，医护人员应增强患者自我护理能力的重视程度。 |
| 英文摘要: |
| Objective: To evaluate the correlation between self-care capability and prognosis of patients after percutaneous coronary intervention (PCI) therapy. Methods: Totally 120 patients after PCI were selected. According to the scores of the Exercise of Self Care Agency Scale (ESCA), the patients were divided into low level group and middle/high level group. The major adverse cardiac events (MACE) were compared in 6 months after discharge between the 2 groups. Results: The self-care capability of the patients after PCI was in the middle level. The total incidence of MACE in the low level group was much higher than that in the middle/high level group (P＜0.05), the incidence of MACE of patients after PCI was related to the self-care capability (OR = 10.586，95% CI：1.781-52.936，P< 0.05). Conclusion: The self-care capability of patients after PCI has certain influence on the MACE. Attention should be paid to cultivation of self-care capability of patients in clinic. |
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