主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2024, Vol. 24 ›› Issue (1): 52-56.doi: 10.3969/j.issn.1672-1756.2024.01.011

• 论著 • 上一篇    下一篇

经皮冠状动脉介入术患者心脏康复锻炼自我效能现状及影响因素分析

邓文燕 程德梅 那润萍   

  1. 首都医科大学附属北京安贞医院门诊部,100029 北京市(邓文燕,程德梅);急诊部(那润萍)
  • 出版日期:2024-01-15 发布日期:2024-01-15
  • 作者简介:邓文燕,本科,主管护师,E-mail:dwenyan72@sina.com

Status quo and influencing factors of self-efficacy of cardiac rehabilitation exercise in patients after Percutaneous Coronary Intervention

DENG Wenyan, CHENG Demei, NA Runping   

  1. Outpatient Department, Beijing Anzhen Hospital, Capital Medical University, Beijing, 100029, China
  • Online:2024-01-15 Published:2024-01-15

摘要: 目的:评估经皮冠状动脉介入术(PCI)患者心脏康复锻炼自我效能水平并分析影响因素,为制定PCI患者心脏康复锻炼计划提供参考。方法:采用便利抽样法,于2022年1月—10月选取北京市某三级甲等医院心内科收治的241例住院患者为研究对象,采用一般资料调查表、心脏康复锻炼自我效能量表、急性心肌梗死患者心脏康复知识和态度问卷、家庭复原力评估量表收集数据。结果:PCI患者心脏康复锻炼自我效能得分为(41.16±8.41)分。回归分析结果显示,心脏康复知识和态度总分、家庭复原力、冠心病病程、吸烟史、受教育程度、家庭月收入、直系亲属心肌梗死史是患者心脏康复锻炼自我效能的影响因素(P<0.05),可解释心脏康复锻炼自我效能变异的54.1%。结论:PCI患者心脏康复锻炼自我效能欠佳,尤其是心脏康复知识和态度较差、家庭复原力水平较低、冠心病病程短、家庭人均月收入低、受教育程度较低、无吸烟史及无直系亲属心肌梗死史的患者,医护人员应重视对这类患者的心脏康复自我效能的干预。

关键词: 经皮冠状动脉介入术;自我效能;心脏康复锻炼;家庭复原力

Abstract: Objective: To evaluate the self-efficacy of cardiac rehabilitation exercise in patients after Percutaneous Coronary Intervention (PCI), so as to provide references for formulating targeted cardiac rehabilitation exercise plan for patients after PCI. Methods: Totally 241 inpatients in the Department of Cardiology of a tertiary grade A hospital in Beijing were conveniently selected from January to October, 2022. The survey tools included the general information questionnaire, the Cardiac Rehabilitation Exercise Self-efficacy Scale, the Cardiac Rehabilitation Knowledge and Attitude Questionnaire for Patients with Acute Myocardial Infarction, and the Family Resilience Assessment Scale. Results: The score of self-efficacy of cardiac rehabilitation exercise in patients after PCI was 41.16±8.41, the total scores of knowledge and attitude about cardiac rehabilitation, family resilience, duration of coronary heart disease, smoking history, education level, family monthly income, and the history of coronary heart disease in direct relatives were the influencing factors of self-efficacy of cardiac rehabilitation exercise in patients after PCI (P<0.05), with an explanatory variance of 54.1%. Conclusion: The self-efficacy of cardiac rehabilitation exercise in patients after PCI is not good, especially the patients with low level of knowledge and attitude of cardiac rehabilitation, low family resilience, short course of coronary heart disease, low family monthly income, low education level, no smoking history and the history of myocardial infarction in direct relatives, medical staff should attach importance to the intervention of self-efficacy of cardiac rehabilitation exercise in these patients.

Key words: Percutaneous Coronary Intervention; self-efficacy; cardiac rehabilitation exercise; family resilience

中图分类号:  R47;R197