关键词:

冠心病, 经皮冠状动脉介入术, 复发风险感知评分, 心功能

Abstract:

Objective　To investigate the perceived recurrence risk score and related factors in patients after performing percutaneous coronary intervention (PCI). Methods　This study is a retrospective cohort study. A total of 120 patients with coronary heart disease (CHD) who were admitted to Fuwai Central China Cardiovascular Hospital from January 2023 to June 2024 were selected as the study subjects. There were 67 male patients and 53 female patients, with ages ranging from 45 to 75 years old. All patients underwent PCI treatment. Three months after the operation, based on the score of the recurrence risk perception assessment scale, the patients were divided into the high-risk-perception group (32 cases) and the low-risk-perception group (88 cases). General patient information was collected through the hospital medical record management system, including gender, age, body mass index, marital status, monthly family income, educational level, disease awareness level (survey questionnaire on health education knowledge), alcohol consumption, smoking, nutritional status, coexisting underlying diseases, cardiac function classification, systolic blood pressure, diastolic blood pressure, number of stents implanted, operation time, and Hamilton Anxiety Scale (HAMA) score. A multivariate logistic regression analysis was conducted to identify the influencing factors of the perceived risk of recurrence in patients with CHD. Independent sample t test, and χ² test were used for statistical analysis. Results　The age of the low-risk-perception group was lower than that of the high-risk-perception group (P<0.05). The proportions of those with low disease awareness level, having <3 underlying diseases, and having a HAMA score of <7 were all higher in the low-risk-perception group than in the high-risk-perception group (all P<0.05). The results of the multivariate logistic regression analysis showed that age (OR=0.599, 95%CI=0.482-0.744), disease awareness level (OR=4.714, 95%CI=1.972-11.272), presence of underlying diseases (OR=3.947, 95%CI=1.598-9.753), and HAMA score (OR=4.472, 95%CI=1.847-10.832) were all influencing factors of the perceived risk of recurrence (all P<0.05). Conclusions　Age, disease awareness level, coexisting underlying diseases, and HAMA score are all factors influencing the perception score of recurrence risk in CHD patients after PCI. Clinicians should attach great importance to this and take effective management measures as soon as possible to accelerate the recovery process of the patients' conditions.

Key words:

Coronary heart disease, Percutaneous coronary intervention, Perceived recurrence risk score, Cardiac function