冠状动脉成形术后患者的二级预防依从性及影响因素。
Adherence to Secondary Prevention and Influential Factors in Individuals with Coronary Angioplasty.
机构信息
Nurse in the Adult Echocardiography service, Clínica Cardio VID, Colombia,
Universidad del Valle, Colombia,
出版信息
Invest Educ Enferm. 2020 Oct;38(3). doi: 10.17533/udea.iee.v38n3e05.
OBJECTIVES
To explore the relation between adherence to secondary prevention and factors that influence on said adherence in people with acute coronary syndrome, who underwent percutaneous coronary angioplasty in a clinic in Medellín.
METHODS
Cross-sectional study on a random sample of 128 volunteer patients. A questionnaire was used for sociodemographic variables, the "Scale to measure therapeutic adherence for patients with chronic diseases, based on explicit behaviors" by Trujano, Vega, and Nava and the "Instrument to evaluate adherence by patients according to influential cardiovascular risk factors" validated by Consuelo Ortiz.
RESULTS
Socioeconomic factors influenced in very low manner on the adherence to secondary prevention; factors related with the therapy did so moderately and patient factors influenced in low manner. No relation was found between the health provider factor and said adherence.
CONCLUSIONS
Factors exist that influence in a lesser or higher measure on adherence to secondary prevention and which must be recognized in people with coronary angioplasty to design strategies to improve this aspect of self-care.
目的
探索在接受经皮冠状动脉血管成形术的急性冠状动脉综合征患者中，坚持二级预防与影响坚持治疗的因素之间的关系，该研究在麦德林的一家诊所进行。
方法
这是一项横断面研究，随机选取了 128 名志愿者患者作为样本。采用问卷调查了社会人口统计学变量、Trujano、Vega 和 Nava 制定的“基于明确行为的慢性病治疗依从性量表”和 Consuelo Ortiz 验证的“根据心血管危险因素评估患者依从性的工具”。
结果
社会经济因素对二级预防的坚持程度影响很小；与治疗相关的因素有中等程度的影响，而患者因素的影响较小。卫生保健提供者因素与坚持治疗之间没有关系。
结论
存在一些因素以不同程度地影响对二级预防的坚持，在为接受经皮冠状动脉血管成形术的患者设计提高自我护理这一方面的策略时，必须认识到这些因素。
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