摘要
目的分析冠心病心脏康复治疗依从性的影响因素。方法498例接受心脏康复治疗的冠心病患者,其中依从性良好248例,依从性差250例。调查统计所有患者的临床资料进行冠心病心脏康复治疗依从性的影响因素单因素及多因素分析。结果冠心病心脏康复治疗依从性良好患者中男性、文化程度大专及以上、疾病知识掌握良好、心脏康复理念良好、保守治疗、社会支持程度良好的占比分别为56.45%(140/248)、80.65%(200/248)、83.87%(208/248)、87.50%(217/248)、71.77%(178/248)、79.84%(198/248),均高于依从性差患者的40.00%(100/250)、26.00%(65/250)、17.60%(44/250)、24.80%(62/250)、40.00%(100/250)、18.80%(47/250),差异均具有统计学意义(P<0.05)。Logistic多因素回归分析显示,性别、文化程度、疾病知识掌握程度、心脏康复理念、治疗方式以及社会支持程度是冠心病心脏康复治疗依从性的独立危险因素(P<0.05)。结论冠心病康复心脏治疗依从性的影响因素有很多,其中以性别、文化程度、疾病知识掌握程度、心脏康复理念、治疗方式、社会支持程度较为常见且影响大,若同时存在多种因素则影响会更大,需结合影响因素进行针对性干预,提高患者依从性,使康复治疗的效果得以充分发挥,保证患者的健康安全。
Objective To analyze the influencing factors on compliance with cardiac rehabilitation therapy for coronary heart disease.Methods Among 498 patients with coronary heart disease who received cardiac rehabilitation therapy,248 patients had good compliance and 250 patients had poor compliance.The clinical data of all patients were investigated and statistically analyzed for single-factor and multi-factor analyses of factors influencing compliance with cardiac rehabilitation therapy for coronary heart disease.Results In patients with good compliance with cardiac rehabilitation therapy for coronary heart disease,the proportions of male,college or higher education,good disease knowledge,good conservative treatment of cardiac rehabilitation concept,and good social support were 56.45%(140/248),80.65%(200/248),83.87%(208/248),87.50%(217/248)71.77%(178/248),79.84%(198/248),which were all higher than 40.00%(100/250),26.00%(65/250),17.60%(44/250),24.80%(62/250),40.00%(100/250),and 18.80%(47/250)in patients with poor compliance,and the differences were statistically significant(P<0.05).Logistic multi-factor regression analysis showed that gender,education level,degree of disease knowledge,concept of cardiac rehabilitation,treatment methods and social support were independent risk factors for compliance with cardiac rehabilitation for coronary heart disease(P<0.05).Conclusion There are many factors that influence the compliance with cardiac rehabilitation therapy for coronary heart disease,among which gender,education level,degree of disease knowledge,concept of cardiac rehabilitation,treatment methods and social support are more common and have a great impact,and the influence is even greater if multiple factors exist at the same time.It is necessary to combine the influencing factors to make targeted interventions to improve patient compliance,so that the effect of rehabilitation treatment can be brought into full play and the health and safety of patients can be guaranteed.
作者
董爽
DONG Shuang(Fuxin Mine General Hospital of China Resources Liaojian Group,Fuxin 123000,China)
出处
《中国现代药物应用》
2022年第8期178-180,共3页
Chinese Journal of Modern Drug Application
关键词
依从性
心脏康复治疗
冠心病
影响因素
Compliance
Cardiac rehabilitation therapy
Coronary heart disease
Influencing factors
