冠状动脉旁路移植术患者心脏康复知信行现状及影响因素

Current status of knowledge-attitude-practice of cardiac rehabilitation and its influencing factors among patients undergoing coronaryartery bypass grafting

  • 摘要:
    目的  调查冠状动脉旁路移植术(CABG)患者心脏康复知信行状况并分析影响因素。
    方法  2022年7—11月通过便利抽样法选取入住首都医科大学附属北京安贞医院冠心病外科中心的CABG患者288例, 采用一般资料调查表和老年冠心病住院患者心脏康复知信行问卷分别对患者的一般情况和心脏康复知信行水平进行调查。
    结果  本研究共发放问卷290份,回收有效问卷288份,有效回收率99.31%。调查对象心脏康复知信行问卷总分为(106.81±13.35)分,总得分率为62.83%, 其中知识问卷(39.34±9.13)分、信念问卷(32.86±3.39)分、行为问卷(34.61±3.54)分,知识问卷、信念问卷、行为问卷得分率分别为46.28%、82.15%、76.91%。多元线性回归分析显示,居住在农村、小学及以下学历、职业为农民、公费医保、既往无冠状动脉介入治疗史的患者心脏康复知信行水平较低,差异有统计学意义(P < 0.05)。
    结论  CABG患者心脏康复知信行水平有待提升,特别是知识水平。影响该人群心脏康复知信行水平因素呈多元化趋势,提示需因人而异、因地制宜地落实个体化心脏康复指导,建立多样化心脏康复模式,从而提高心脏康复的长期性和依从性。

     

    Abstract:
    Objective  To investigate the current status of knowledge-attitude-practice of cardiac rehabilitation in patients undergoing coronary artery bypass grafting(CABG) and analyze its influencing factors.
    Methods  From July to November 2022, 288 patients with CABG in the coronary heart disease surgery center of Beijing Anzhen Hospital Affiliated to Capital Medical University were conveniently included, and general information questionnaire and cardiac rehabilitation knowledge and practice questionnaire were used to investigate the general situation and the level of knowledge-attitude-practice of cardiac rehabilitation in patients with coronary heart disease.
    Results  A total of 290 questionnaires were sent out in this study, and 288 were effectively collected, with an effective recovery rate of 99.31%. The total score of the questionnaire was (106.81±13.35), and the total score rate was 62.83%, including the knowledge questionnaire scoring (39.34±9.13), belief questionnaire scoring (32.86±3.39) and behavior questionnaire scoring (34.61±3.54). The scoring rates of knowledge, attitude and practice questionnaire were 46.28%, 82.15% and 76.91%, respectively. Multiple linearregression analysis showed that patients who lived in rural areas, had education background of primary school or below, were farmers, had public health insurance, and had no previous coronary intervention, had lower levels of knowledge-attitude-practice of cardiac rehabilitation (P < 0.05).
    Conclusion  The knowledge-attitude-practice of cardiac rehabilitation, especially the level of knowledge, in patients with CABG is needed to be improved. The factors that affect the level of knowledge-attitude-practice of cardiac rehabilitation in this population are diversified, suggesting that individual cardiac rehabilitation guidance should be implemented according to different people and local conditions, and diversified cardiac rehabilitation models should be established to improve the long-term and compliance of cardiac rehabilitation.

     

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