冠心病患者PCI术后生活质量影响因素与护理干预研究

摘要

Objective To investigate the quality of life and influencing factors of patients with coronary heart disease after percutaneous coronary intervention (PCI), so as to provide evidence for quality nursing.Methods The social demography and disease information were investigated by social demographic data and disease information questionnaire, and the quality of life of patients was investigated by SF-36.The multiple regression analysis was used to analyze the influencing factors of quality of life in patients with coronary heart disease after PCI.Results The total score of quality of life and the scores of each dimension in patients with coronary heart disease at 3 months after PCI were higher than those before PCI (P＜0.05), and the increased scores ranged from 4.72 to 20.67.The patients with coronary heart disease were female, with hypertension, diabetes mellitus, more diseased blood vessels, more untreated blood vessels, poorer blood glucose control, postoperative smoking, postoperative non-working patients, the worse the quality of life was.Conclusion The PCI could significantly improve the quality of life of patients with coronary heart disease.To understand the influencing factors of quality of life after PCI, the targeted postoperative nursing could be better carry out.%目的 探讨冠心病患者行经皮冠状动脉介入 (PCI) 术后生活质量的影响因素, 为后续护理干预提供依据.方法通过社会人口学资料、疾病资料调查表调查患者社会人口学与疾病资料;SF-36表调查患者生活质量.采用多元回归分析冠心病患者PCI术后生活质量的影响因素.结果 冠心病患者PCI术后3个月生活质量总评分及各维度评分均较术前提高 (P＜0.05), 提高分数范围为4.72～20.67.患者为女性、合并高血压、合并糖尿病、病变血管数量越多、未处理病变血管数量越多、血糖控制差、术后吸烟、术后未参与工作的冠心病患者生活质量越差.结论 PCI能显著改善冠心病患者生活质量, 了解PCI术后生活质量的影响因素, 可以更好地开展有针对性的术后护理工作.