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经皮冠状动脉介入治疗后感知到的社会支持是冠心病患者的一个关键因素。

Perceived social support following percutaneous coronary intervention is a crucial factor in patients with coronary heart disease.

作者信息

Kähkönen Outi, Kankkunen Päivi, Miettinen Heikki, Lamidi Marja-Leena, Saaranen Terhi

机构信息

Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.

Kuopio University Hospital, Kuopio, Finland.

出版信息

J Clin Nurs. 2017 May;26(9-10):1264-1280. doi: 10.1111/jocn.13527. Epub 2016 Nov 23.

Abstract

AIMS AND OBJECTIVES

To describe perceived social support among patients with coronary heart disease following percutaneous coronary intervention.

BACKGROUND

A low level of social support is considered a risk factor for coronary heart disease in healthy individuals and reduces the likelihood that people diagnosed with coronary heart disease will have a good prognosis.

DESIGN

A descriptive cross-sectional study.

METHODS

A survey of 416 patients was conducted in 2013. A self-report instrument, Social Support of People with Coronary Heart Disease, was used. The instrument comprises three dimensions of social support: informational, emotional, functional supports and 16 background variables. Data were analysed using descriptive statistics, factor analysis, mean sum variables and multivariate logistic regression.

RESULTS

Perceived informational support was primarily high, but respondents' risk factors were not at the target level. The weakest items of informational support were advice on physical activity, continuum of care and rehabilitation. Regarding the items of emotional support, support from other cardiac patients was the weakest. The weakest item of functional support was respondents' sense of the healthcare professionals' care of patients coping with their disease. Background variables associated with perceived social support were gender, marital status, level of formal education, profession, physical activity, duration of coronary heart disease and previous myocardial infarction.

CONCLUSIONS

Healthcare professionals should pay extra attention to women, single patients, physically inactive patients, those demonstrating a lower level of education, those with a longer duration of CHD, and respondents without previous acute myocardial infarction. Continuum of care and counselling are important to ensure especially among them.

RELEVANCE TO CLINICAL PRACTICE

This study provides evidence that healthcare professionals should be more aware of the individual needs for social support among patients with coronary heart disease after percutaneous coronary intervention.

摘要

目的与目标

描述经皮冠状动脉介入治疗后冠心病患者所感知到的社会支持情况。

背景

社会支持水平低被认为是健康个体患冠心病的一个危险因素,且会降低被诊断为冠心病的人预后良好的可能性。

设计

一项描述性横断面研究。

方法

2013年对416名患者进行了调查。使用了一份自我报告工具《冠心病患者的社会支持》。该工具包括社会支持的三个维度:信息支持、情感支持、功能支持以及16个背景变量。数据采用描述性统计、因子分析、均值总和变量及多因素逻辑回归进行分析。

结果

所感知到的信息支持总体较高,但受访者的危险因素未达到目标水平。信息支持中最薄弱的项目是体育活动建议、持续护理和康复。在情感支持项目方面,来自其他心脏病患者的支持最为薄弱。功能支持中最薄弱的项目是受访者对医护人员照顾应对疾病患者的感受。与所感知到的社会支持相关的背景变量包括性别、婚姻状况、正规教育程度、职业、体育活动、冠心病病程及既往心肌梗死情况。

结论

医护人员应格外关注女性、单身患者、缺乏体育活动的患者、教育水平较低者、冠心病病程较长者以及既往无急性心肌梗死的受访者。持续护理和咨询尤为重要,尤其要确保在这些人群中做到。

与临床实践的相关性

本研究提供了证据,表明医护人员应更加了解经皮冠状动脉介入治疗后冠心病患者对社会支持的个体需求。

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