黑龙江省边远地区经皮冠状动脉介入治疗患者复诊状况及影响因素分析

doi:10.3969/j.issn.1672-1756.2017.02.028

黑龙江省边远地区经皮冠状动脉介入治疗患者复诊状况及影响因素分析

陆凡林平赵振娟陈冠燃王翎羽李彦蓉

哈尔滨医科大学护理学院，哈尔滨医科大学附属第二医院，150086（陆凡，林平，陈冠燃，王翎羽，李彦蓉）；哈尔滨医科大学附属第二医院心内科（赵振娟）

出版日期:2017-02-25 发布日期:2017-02-25

An analysis of factors related to the hospital referrals of the patients living in remote areas of Heilongjiang after Percutaneous Coronary Intervention

Online:2017-02-25 Published:2017-02-25

摘要/Abstract

摘要： 目的：调查黑龙江省边远地区经皮冠状动脉介入治疗(Percutaneous Coronary Intervention，PCI)患者术后一年内的复诊状况并分析其影响因素。方法：采用一般资料及复诊情况调查表、PCI术后二级预防知识与行为问卷、冠心病健康信念问卷对299例边远地区PCI术后一年的患者进行问卷调查与分析。结果：Logistic回归模型分析显示，影响患者复诊的因素有年龄、文化程度、医疗花费占收入比例、PCI术后二级预防知识、冠心病健康信念（P<0.05）。结论：黑龙江省边远地区患者的术后复诊情况不容乐观，相关医护人员与管理部门，可从其影响因素入手，建立更有针对性的干预方案，从而提高边远地区患者的遵医嘱复诊率，改善患者预后。

Abstract: Objective: To investigate the prevalence and factors associated with referral to cardiac rehabilitation of patients 1 year after Percutaneous Coronary Intervention in remote areas of Heilongjiang. Methods: Totally 299 PCI patients were recruited. Demographic factors and cardiac rehabilitation referral status questionnaire, knowledge and behavior of secondary prevention after Percutaneous Coronary Intervention questionnaire, coronary artery disease health belief scale were evaluated for the study. Results: Logistic regression showed that age, education background, medical costs, knowledge and health belief were associated with referral to cardiac rehabilitation (P<0.05). Conclusion: These findings highlight the potential need for hospital-level interventions to improve cardiac rehabilitation referral rates after PCI among patients in remote areas.

陆凡林平赵振娟陈冠燃王翎羽李彦蓉. 黑龙江省边远地区经皮冠状动脉介入治疗患者复诊状况及影响因素分析[J]. , 2017, 17(2): 261-265.