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经皮冠状动脉介入治疗后冠心病患者护理依赖的影响因素:一项横断面研究。

Influencing factors of care dependence in patients with coronary heart disease after percutaneous coronary intervention-A cross-sectional study.

机构信息

Department of Cardiology, Suzhou Hospital of Anhui Medical University (Suzhou Municipal Hospital of Anhui Province), Suzhou, Anhui Province, China.

Department of Cardiology, Bozhou People's Hospital, Bozhou, Anhui Province, China.

出版信息

Nurs Open. 2023 Jan;10(1):241-251. doi: 10.1002/nop2.1299. Epub 2022 Aug 23.

DOI:10.1002/nop2.1299
PMID:35997202
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9748071/
Abstract

AIM

Care dependence has been scarcely investigated in coronary heart disease patients after percutaneous coronary intervention. This study aimed to investigate the association between frailty, self-efficacy, combined effects of frailty and self-efficacy, mental health, and care dependence in coronary heart disease patients after percutaneous coronary intervention.

DESIGN

Cross-sectional study.

METHODS

Data from 400 patients after percutaneous coronary intervention were collected from 2017-2020. Logistic regression model and mediating analysis were used to identify the association between frailty, self-efficacy, combined effects of frailty and self-efficacy, and care dependence.

RESULTS

Patients with frailty and self-efficacy tended to have severe care dependence symptoms. There was no correlation between frailty symptoms, self-efficacy, and care dependence in patients without symptoms of anxiety or depression. But in patients with anxiety or depression symptoms, there is a strong correlation between frailty symptoms, lower self-efficacy, and care dependence. Mental health played an inhibitory effect on frailty and care dependence.

摘要

目的

经皮冠状动脉介入治疗后,对冠心病患者的护理依赖研究甚少。本研究旨在探讨经皮冠状动脉介入治疗后冠心病患者衰弱、自我效能、衰弱与自我效能的综合作用、心理健康与护理依赖之间的关系。

设计

横断面研究。

方法

2017-2020 年收集了 400 例经皮冠状动脉介入治疗患者的数据。采用逻辑回归模型和中介分析来确定衰弱、自我效能、衰弱和自我效能的综合作用与护理依赖之间的关系。

结果

衰弱和自我效能高的患者护理依赖症状严重。无焦虑或抑郁症状的患者中,衰弱症状、自我效能与护理依赖之间无相关性。但在有焦虑或抑郁症状的患者中,衰弱症状、自我效能较低与护理依赖之间存在较强的相关性。心理健康对衰弱和护理依赖有抑制作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5356/9748071/52421f66f09f/NOP2-10-241-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5356/9748071/52421f66f09f/NOP2-10-241-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5356/9748071/52421f66f09f/NOP2-10-241-g001.jpg

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Support Care Cancer. 2022 Aug;30(8):6633-6640. doi: 10.1007/s00520-022-07083-6. Epub 2022 May 2.
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Risk factors for psychological morbidity and the protective role of coping self-efficacy in young women with breast cancer early in diagnosis: a national multicentre cohort study.诊断早期年轻乳腺癌女性心理发病风险因素及应对效能的保护作用:一项全国多中心队列研究。
Breast Cancer Res Treat. 2022 Jul;194(1):91-102. doi: 10.1007/s10549-022-06576-6. Epub 2022 Apr 24.
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Effect of Integrated Nursing Care Based on Medical Alliance Mode on the Prevention and Treatment of Complications and Self-Efficacy of Patients with Coronary Heart Disease after PCI.
基于医联体模式的整合护理对 PCI 后冠心病患者并发症预防及自我效能的影响。
J Healthc Eng. 2022 Mar 9;2022:7727953. doi: 10.1155/2022/7727953. eCollection 2022.
4
Percutaneous coronary intervention with drug-eluting stents versus coronary artery bypass grafting in left main coronary artery disease: an individual patient data meta-analysis.经皮冠状动脉介入治疗联合药物洗脱支架与冠状动脉旁路移植术治疗左主干冠状动脉疾病的比较:一项个体患者数据分析荟萃研究。
Lancet. 2021 Dec 18;398(10318):2247-2257. doi: 10.1016/S0140-6736(21)02334-5. Epub 2021 Nov 15.
5
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