1. 四川省医学科学院·四川省人民医院(电子科技大学附属医院)心血管内科1,成都
2. 电子科技大学医学院,成都
3. 四川省医学科学院·四川省人民医院(电子科技大学附属医院)护理部,成都
4. 四川省肿瘤医院, 综合病区B,成都
5. 四川省医学科学院·四川省人民医院(电子科技大学附属医院)烧伤科,成都
6. 四川省医学科学院·四川省人民医院(电子科技大学附属医院)重症医学中心,成都
纸质出版:2025
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文青, 毛孝容, 唐小丽, 等. 冠心病PCI治疗患者院外早期康复阶段体力活动水平及影响因素分析[J]. 中华物理医学与康复杂志, 2025,47(9):792-798.
文青, 毛孝容, 唐小丽, et al. 冠心病PCI治疗患者院外早期康复阶段体力活动水平及影响因素分析[J]. 2025, 47(9): 792-798.
目的分析经皮冠状动脉介入治疗(PCI)后的冠心病患者在院外早期康复阶段其体力活动水平及影响因素。方法选取2023年11月至2024年4月期间在四川省某三级甲等综合医院首次行PCI治疗且出院时间小于6个月的冠心病患者作为观察对象
采用一般资料调查问卷、国际体力活动问卷长卷、中文版Tilburg衰弱量表、社会支持量表及Barthel指数量表进行调查;采用流行病学描述性方法对患者体力活动水平进行分析
采用多因素Logistic回归分析探讨影响患者体力活动水平的相关危险因素;通过绘制受试者工作特征曲线(ROC)评估上述危险因素对冠心病PCI术后患者院外早期康复阶段体力活动水平的预测价值。结果本研究共纳入394例患者
低水平体力活动者有117例(占30%)
中水平体力活动者有202例(占51%)
高水平体力活动者有75例(占19%)。单因素分析结果显示不同水平体力活动患者在年龄、慢病共病、衰弱及生活自理能力方面存在统计学差异(P<0.05);多因素Logistic回归分析显示高龄、慢病共病、衰弱及自理能力低下是冠心病PCI术后患者院外早期康复阶段低水平体力活动的危险因素(P<0.05)。ROC曲线分析结果显示
联合上述4个危险因素预测患者院外早期康复阶段体力活动水平的ROC曲线下面积为0.888(95%CI 0.838~0.939)
敏感度为0.894
特异度为0.801。结论冠心病PCI术后患者在院外早期康复阶段其体力活动多处于中等偏下水平
医护人员应针对患者年龄、慢病共病、衰弱及生活自理能力情况给予针对性干预
从而提高其体力活动水平。
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