| 王慧娟,许瑞.急性心肌梗死患者院前自救知识与态度的调查研究[J].上海护理,2022,22(11): |
| 急性心肌梗死患者院前自救知识与态度的调查研究 |
| Investigation on pre-hospital self-rescue knowledge and attitude of patients with acute myocardial infarction |
| 投稿时间：2022-05-27 修订日期：2022-11-07 |
| DOI： |
| 中文关键词: 急性心肌梗死 胸痛 院前自救 健康教育 |
| 英文关键词:acute myocardial infarction chest pain pre-hospital self-rescue health education |
| 基金项目:甘肃中医药大学科研发展基金项目 |
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| 中文摘要: |
| 摘要：目的 了解急性心肌梗死（acute myocardial infarction，AMI）患者院前自救知识、态度现状并分析其影响因素，为医疗机构制订有针对性的院前自救策略和健康教育内容与方法提供参考。方法 2021年3月1日至8月1日，采用便利抽样法选取收治于兰州市8所三级甲等医院的AMI患者473例作为研究对象，采用AMI患者一般资料调查表、AMI患者健康状况调查表、AMI患者院前自救知识、态度调查问卷对其进行调查。结果 被调查的473例患者院前自救知识得分为（55.72±17.86）分，院前自救态度得分为（80.93±10.75）分。多元线性回归分析显示，高血压病史、冠心病家族史为影响AMI患者院前自救知识的影响因素，冠心病史、脑血管病史为影响AMI患者院前自救态度的影响因素，二者回归系数均有统计学意义（P<0.05）。结论 AMI患者院前自救态度较为积极，但知识水平偏低，需亟待提高。管理者应借鉴国外先进健康知识传输系统，构建适合我国AMI患者及高危患者的健康教育体系，加强对AMI患者及高危患者院前自救知识的传播，切实提高AMI患者及高危人群自救能力。 |
| 英文摘要: |
| Abstract：Objective To understand the status quo of pre-hospital self-care knowledge and attitude in patients with acute myocardial infarction (AMI) and analyze its influencing factors, so as to provide a reference for medical institutions to formulate targeted pre-hospital self-care strategies and health education contents and methods. Methods A total of 473 AMI patients from 8 grade A hospitals in Lanzhou were selected by convenience sampling method. The general information questionnaire of patients with AMI, the health status questionnaire of patients with AMI, the knowledge and attitude questionnaire of pre-hospital self-rescue of patients with AMI were used to investigate them.Results The score of self-rescue knowledge and attitude was 55.72±17.86, 80.93±10.75. Multiple linear regression analysis showed that the history of hypertension and family history of coronary heart disease were the influential factors for the knowledge of pre-hospital self-rescue in patients with acute myocardial infarction.History of coronary heart disease and history of cerebrovascular disease were the influential factors for the attitude of pre-hospital self-rescue in patients with acute myocardial infarction,and their regression coefficients were statistically significant (P<0.05). Conclusion AMI patients have a positive attitude towards self-rescue, but their knowledge level is low, which needs to be improved urgently. Managers should learn from foreign advanced health knowledge transmission system, construct health education system suitable for AMI patients and high-risk patients in China, strengthen the dissemination of pre-hospital self-rescue knowledge for AMI patients and high-risk patients, and effectively improve the self-rescue ability of AMI patients and high-risk groups. |
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