冠心病合并糖尿病病人PCI术后自我管理能力的影响因素研究宋洪娜,许洪梅,刘玉环,王青龙,汤云昭,于翔Influencingfactorsofself-managementabilityinpatientswithcoronaryheartdiseasecomplicatedwithdiabetesmellitusafterPCISONGHongna,XUHongmei,LIUYuhuan,WANGQinglong,TANGYunzhao,YUXiang(NationalHealthCommissionKeyLaboratoryofHormonesandDevelopment,TianjinKeyLaboratoryofMetabolicDiseases,ChuHsien-IMemorialHospitalandTianjinInstituteofEndocrinology,TianjinMedicalUniversity,Tianjin300134China)AbstractObjective:Toexplorethestatusquoandinfluencingfactorsofself-managementabilityafterpercutaneouscoronaryintervention(PCI)inpatientswithcoronaryheartdisease(CHD)anddiabetes.Methods:Atotalof400patientswithCHDanddiabetesunderwentPCIinthecardiovasculardepartmentofatertiarygradeAgeneralhospitalinTianjinasthesubjectsusingtheconveniencesamplingmethod.Datawerecollectedandtheinfluencingfactorsofpatients'CHDself-managementbehaviorwereanalyzedthroughmultiplelinearregression.Results:Thepatients'CHDself-managementbehaviorscalescoresrangedfrom47to124(89.81±12.32).Age,educationlevel,timesofhospitalizationsforCHD,familycare,depressionstatus,anddiabetesself-managementbehaviorwereindependentinfluencingfactorsofCHDself-managementbehavior(β=-0.172~0.468,P<0.05).Conclusions:CHDself-managementbehaviorwasaffectedbyage,educationlevel,timesofhospitalizationsforCHD,familycareanddepressionstate.DiabetescomorbiditymanagementcouldpromoteCHDself-managementbehavior.Medicalstaffshouldpayattentiontotheabovefactorsandconductcorrespondingassessments,healtheducationandfollow-uptoassistpatientsinself-management.Keywordscoronaryheartdisease,CHD;diabetes;percutaneouscoronaryintervention;self-managementability;influencingfactors摘要目的:探究冠心病合并糖尿病病人经皮冠状动脉介入治疗(PCI)术后自我管理能力现状及影响因素。方法:采用便利抽样法选取天津市某三级甲等综合医院心血管科行PCI术的400例冠心病合并糖尿病病人为研究对象,进行资料收集,通过多元线性回归分析病人冠心病自我管理行为的影响因素。结果:病人冠心病自我管理行为量表得分47~124(89.81...
