摘要
目的探讨老年冠心病患者PCI术后衰弱发生现状及影响因素。方法采用便利抽样法,选取2018年7月—2019年7月在江苏省连云港市第二人民医院心内科和连云港市第一人民医院心内科住院并接受PCI治疗的老年冠心病患者300例为研究对象。采用问卷调查法,于PCI术后24 h内收集人口学资料、疾病资料,并使用衰弱评估指数评估患者。结果老年冠心病患者PCI术后衰弱发生率为80.67%(242/300)。单因素分析结果显示,不同年龄、学历、经济状况、保险情况、婚姻情况、合并疾病种类、心功能分级、放入支架数、以及是否吸烟、饮酒的患者术后衰弱发生情况差异有统计学意义(P<0.05)。多重线性回归分析结果显示,年龄、学历、经济状况、饮酒、医疗保险情况、合并疾病种类数、心功能分级是老年冠心病患者PCI术后衰弱的影响因素(P<0.05)。结论老年冠心病患者PCI术后衰弱发生率高,临床中应重点加强衰弱评估,对高危人群及早开展风险干预,进而减少老年冠心病患者PCI术后衰弱的发生。
Objective To explore the current status of frailty and its influencing factors in elderly patients with coronary heart disease after PCI.Methods Using convenient sampling method,300 elderly coronary heart disease patients,who were underwent PCI in the Department of Cardiology of the Second People's Hospital of Lianyungang and Department of Cardiology of the First People's Hospital of Lianyungang from July 2018 to July 2019 were selected as the subjects.A questionnaire survey was used to collect demographic and disease data within 24 hours after PCI,and patients were evaluated by the Frailty Index.Results The incidence of frailty in elderly patients with coronary heart disease was 80.67%(242/300).The univariate analysis showed that there were statistically significant differences in the incidence of frailty among patients with different ages,education background,financial status,insurance status,marital status,combined disease types,cardiac function classification,number of stents inserted,and whether smoking and consuming alcohol(P<0.05).Multiple linear regression analysis showed that age,education,financial status,consuming alcohol,medical insurance status,number of comorbidities,and cardiac function classification were the influencing factors of frailty for elderly patients with coronary heart disease after PCI(P<0.05).Conclusions Elderly patients with coronary heart disease have a high incidence of frailty after PCI.We should strengthening the frailty assessment in clinical practice,and take intervention in the high-risk population,so as to reduce the incidence of frailty amongelderly patientsafter PCI.
作者
李娟
王海宁
刘永花
Li Juan;Wang Haining;Liu Yonghua(Department of Cardiology,the Second People's Hospital of Lianyungang,Lianyungang 222000,China;Department of Cardiology,the First People's Hospital of Lianyungang,Lianyungang 222061,China)
出处
《中华现代护理杂志》
2020年第5期639-643,共5页
Chinese Journal of Modern Nursing
