| 卫志丹,汤文龙,周鹤莲,史敏,崔慧霞,李远珍.PCI术后患者心脏康复依从性现状及影响因素[J].济宁医学院学报,2026,49(2):133-138 |
| PCI术后患者心脏康复依从性现状及影响因素 |
| Analysis of current status and influencing factors of cardiac rehabilitation adherence among patients after PCI |
| 投稿时间：2025-11-06 |
| DOI：10.3969/j.issn.1000-9760.2026.02.007 |
| 中文关键词: 经皮冠状动脉介入治疗;心脏康复;依从性;影响因素 |
| 英文关键词: Percutaneous coronary intervention;Cardiac rehabilitation;Adherence;Influencing factors |
| 基金项目:皖南医学院横向课题(H202502) |
| 作者 | 单位 | E-mail | | 卫志丹 | 皖南医科大学护理学院, 芜湖 241000 | | | 汤文龙 | 皖南医科大学护理学院, 芜湖 241000 | | | 周鹤莲 | 皖南医科大学第二附属医院护理部, 芜湖 241000 | | | 史敏 | 皖南医科大学护理学院, 芜湖 241000 | | | 崔慧霞 | 皖南医科大学护理学院, 芜湖 241000 | | | 李远珍 | 皖南医科大学护理学院, 芜湖 241000 | 905448947@qq.com |
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| 中文摘要: |
| 目的 探讨经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)术后患者心脏康复依从性及相关影响因素。方法 选取2024年9月至2025年3月于安徽省某三甲医院两个心内科病区和CCU收治的PCI术后患者216例为研究对象,采用心脏康复量表(Cardiac Rehabilitation Inventory,CRI)评估PCI术后患者心脏康复依从性,通过单因素分析与多因素logistic回归分析探讨其影响因素。结果 本组PCI术后患者心脏康复依从性总体处于中等偏下水平,依从性高(CRI总分≥45分)99例(45.8%),依从性低(CRI总分＜45分)117例(54.2%)。多因素logistic回归分析显示,文化程度初中及以下、农村居住、子女数量＞2个、家庭人均月收入＜3000元、周边无心脏康复中心或医院以及运动习惯少或无是影响患者依从性低的独立危险因素(P＜0.05);退休(vs无工作)与依从性呈负相关联(P＜0.05),其中无运动习惯的关联强度最大。结论 临床医护人员应重点关注依从性低风险人群,并实施针对性干预,以提升PCI术后患者心脏康复依从性。 |
| 英文摘要: |
| Objective To explore cardiac rehabilitation adherence and its influencing factors in patients after PCI. Methods A total of 216 post-PCI patients admitted to two cardiology wards and the CCU of a tertiary hospital in Anhui Province from September 2024 to March 2025 were selected as the study subjects.Cardiac rehabilitation adherence was assessed using the Cardiac Rehabilitation Inventory (CRI),and potential influencing factors were analyzed using univariate analysis and multivariate logistic regression. Results The overall cardiac rehabilitation adherence of post-PCI patients was at a moderately low level,with 99 patients (45.8%) having high adherence and 117 patients (54.2%) having low adherence.Multivariate logistic regression analysis indicated that lower education level (junior high school or below),rural residence,having more than two children,monthly per capita income less than 3000 RMB,lack of nearby cardiac rehabilitation centers or hospitals,and little to no exercise habits were independently associated with adherence (P＜0.05).Regarding employment status,retirement (vs. unemployed) was negatively associated with low adherence (P＜0.05),with the absence of exercise habits showing the strongest association. Conclusion Clinical healthcare providers should focus on populations at higher risk of low adherence and implement targeted interventions to improve cardiac rehabilitation adherence in post-PCI patients. |
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