| Citation: |
YANG Xueqin, SUN Caifeng, XU Yilin, WANG Dongxia. Influencing factors of self-management ability of coronary heart disease patients after percutaneous coronary intervention and construction of nomogram model[J]. Journal of Clinical Medicine in Practice, 2024, 28(15): 101-104, 109. DOI: 10.7619/jcmp.20240905
|
To analyze the influencing factors of self-management ability of coronary heart disease patients after percutaneous coronary intervention (PCI) and construct a nomogram model.
A total of 247 CHD patients who underwent PCI were selected as the research subjects, and all of them were evaluated by Coronary Heart Disease Self-management Scale (CSMS). Multivariate Logistic regression analysis was used to screen out the independent influencing factors of self-management ability of CHD patientsafter PCI, and R software was used to construct a nomogram model. The discrimination, calibration, and goodness-of-fit of the nomogram model were evaluated by receiver operating characteristic (ROC) curve, calibration curve, and Hosmer-Lemeshow goodness-of-fit test.
The average CSMS score of 247 patients was (86.79±9.22), and these patients were divided into low-score group(89 patients) and high-score group (158 patients)based on the critical value of 86.79 points. There were significant differences in age, education level, monthly per capita family income, and self-efficacy between the low-score group and the high-score group (P < 0.05). Multivariate Logistic regression analysis showed that age, education level, monthly per capita family income, and self-efficacy were independent influencing factors of self-management ability of CHD patients after PCI (P < 0.05). The nomogram model constructed based on the four influencing factors found that age >70 years increased the weight by 86.2 points, education level below high school increased the weight by 87.4 points, monthly per capita family income < 3 500 yuan increased the weight by 82.3 points, and low self-efficacy increased the weight by 99.6 points. The results of ROC curve analysis showed that the area under the curve of the nomogram model for predicting self-management ability ofCHD patients after PCI was 0.842 (95%CI, 0.794 to 0.890). The slope of the calibration curve was close to 1, and the results of goodness-of-fit test was as follows: χ2=10.226, P=0.233.
Age, education level, monthly per capita family income, and self-efficacy are influencing factors of self-management ability of CHD patients after PCI, and the nomogram model constructed based on these factors has high predictive value for self-management ability.
| [1] |
董莞, 张兵. CT冠脉成像、超声心动图对冠心病患者左心室功能、冠脉斑块稳定性的评估价值[J]. 中国CT和MRI杂志, 2022, 20(6): 93-95.
|
| [2] |
任何, 汪洁, 张东伟, 等. 血清FKN、COMP、LTBP-2表达水平与冠心病严重程度的关系[J]. 中西医结合心脑血管病杂志, 2021, 19(10): 1694-1696. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYYY202110023.htm
|
| [3] |
ZHAO D H, FAN Q, NING J X, et al. Myocardial bridge-related coronary heart disease: independent influencing factors and their predicting value[J]. World J Clin Cases, 2019, 7(15): 1986-1995. doi: 10.12998/wjcc.v7.i15.1986
|
| [4] |
黄彩妹, 陆柳雪, 邓惠英, 等. 老年冠心病PCI治疗患者认知加工与应对方式对其创伤后成长水平影响研究[J]. 重庆医学, 2022, 51(21): 3681-3688. https://www.cnki.com.cn/Article/CJFDTOTAL-CQYX202221017.htm
|
| [5] |
王玎羽, 谢翔, 赵东英, 等. PLT/TBIL对冠心病患者PCI术后临床结局的预测价值[J]. 重庆医学, 2022, 51(14): 2432-2436, 2440.
|
| [6] |
尹琳, 胥清华, 杜丹. 基于行为改变理论的干预模式对PCI术后患者自我管理行为和健康素养的影响[J]. 中华现代护理杂志, 2020, 26(2): 256-260.
|
| [7] |
中华医学会心血管病学分会介入心脏病学组, 中华医学会心血管病学分会动脉粥样硬化与冠心病学组, 中国医师协会心血管内科医师分会血栓防治专业委员会, 等. 稳定性冠心病诊断与治疗指南[J]. 中华心血管病杂志, 2018, 46(9): 680-694.
|
| [8] |
中华医学会心血管病学分会介入心脏病学组, 中国医师协会心血管内科医师分会血栓防治专业委员会, 中华心血管病杂志编辑委员会. 中国经皮冠状动脉介入治疗指南(2016)[J]. 中华心血管病杂志, 2016, 44(5): 382-400. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJXB201612016.htm
|
| [9] |
FREUND T, GENSICHEN J, GOETZ K, et al. Evaluating self-efficacy for managing chronic disease: psychometric properties of the six-item Self-Efficacy Scale in Germany[J]. J Eval Clin Pract, 2013, 19(1): 39-43. doi: 10.1111/j.1365-2753.2011.01764.x
|
| [10] |
WU X L, VON BIRGELEN C, ZHANG S, et al. Simultaneous evaluation of plaque stability and ischemic potential of coronary lesions in a fluid-structure interaction analysis[J]. Int J Cardiovasc Imaging, 2019, 35(9): 1563-1572. doi: 10.1007/s10554-019-01611-y
|
| [11] |
付琳, 王敏, 李瑾. 冠心病病人载脂蛋白B/载脂蛋白A1、胱抑素C、血清胆红素水平变化及其与冠状动脉病变严重程度的相关性[J]. 中西医结合心脑血管病杂志, 2022, 20(7): 1287-1292. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYYY202207027.htm
|
| [12] |
DAWSON L P, COLE J A, LANCEFIELD T F, et al. Incidence and risk factors for stroke following percutaneous coronary intervention[J]. Int J Stroke, 2020, 15(8): 909-922. doi: 10.1177/1747493020912607
|
| [13] |
段雯洁, 李小琼, 姜艳艳, 等. 跨理论模型下协同护理用于PCI老年冠心病患者自我管理能力及健康行为的影响[J]. 中国医药导报, 2022, 19(35): 172-175. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY202235035.htm
|
| [14] |
樊明媛, 李雪萍, 芮思艳, 等. 冠心病PCI支架植入术后1年再入院的中医证素分布规律及相关危险因素分析[J]. 中西医结合心脑血管病杂志, 2022, 20(15): 2783-2787.
|
| [15] |
郭丽敏, 郭莹洁, 史宁, 等. 冠心病患者PCI术后自我管理现状的研究进展[J]. 河北医药, 2022, 44(10): 1561-1565.
|
| [16] |
袁雨涵, 高春红, 汤一帆, 等. 冠心病管理APP对老年冠心病病人PCI术后自我管理与生活质量的效果[J]. 实用老年医学, 2022, 36(1): 100-103.
|
| [17] |
王飞宇, 张玉莲. 情景模拟健康教育对冠心病PCI术后患者手术认知水平及自我管理能力的影响[J]. 心脑血管病防治, 2019, 19(2): 192-194. https://www.cnki.com.cn/Article/CJFDTOTAL-XXFZ201902030.htm
|
| [18] |
高倩, 李晓敏, 孙王乐贤, 等. 自我调节疲劳对冠心病患者自我管理行为的影响[J]. 中国慢性病预防与控制, 2019, 27(1): 38-42.
|
| [19] |
柳志敏, 王巧, 郝娟. 老年冠心病行PCI术后患者自我管理能力影响因素分析及护理对策[J]. 齐鲁护理杂志, 2020, 26(19): 5-8.
|
| [20] |
陈晨, 彭德荣, 杨芬红, 等. 上海市某社区冠心病患者自我管理与自我效能的相关性及其影响因素[J]. 中华全科医师杂志, 2020, 19(11): 1020-1024.
|
| 1. |
张超. 屈螺酮炔雌醇片联合二甲双胍治疗多囊卵巢综合征的临床效果. 妇儿健康导刊. 2024(05): 112-115 .
| |
| 2. |
张金玲，李永乐. 经阴道超声血流参数联合血清抗苗勒管激素对多囊卵巢综合征不孕症体外受精-胚胎移植妊娠失败的预测价值. 实用临床医药杂志. 2024(04): 125-130+135 .
本站查看
| |
| 3. |
李红丽，严烩利. 育龄期多囊卵巢综合征患者糖代谢与性激素及子宫内膜容受性的关系. 实用临床医药杂志. 2024(10): 106-111 .
本站查看
| |
| 4. |
刘钦文，綦萍，张海艳，王璇. 炔雌醇环丙孕酮片联合二甲双胍治疗肥胖型PCOS有效性的随机对照研究. 中国计划生育学杂志. 2024(07): 1498-1502 .
| |
| 5. |
严烩利，李宾玲，季清云，耿文君，张丽，申小静. 二甲双胍联合维生素E对多囊卵巢综合征患者非特异性炎症状态的疗效观察. 实用中西医结合临床. 2024(16): 68-70+74 .
| |
| 6. |
陈晶. 二甲双胍联合地屈孕酮治疗多囊卵巢综合征不孕症的临床效果. 临床合理用药. 2024(34): 129-131 .
| |
| 7. |
陈雅静. 二甲双胍联合来曲唑治疗多囊卵巢综合征不孕症的临床效果. 临床合理用药. 2024(35): 146-149 .
| |
| 8. |
王艳，罗家寿，王小艳. 来曲唑结合二甲双胍治疗多囊卵巢综合征合并不孕症患者的效果分析. 中国医学创新. 2024(35): 123-127 .
| |
| 9. |
朱秀娟，赵秀萍. 补阳活血汤联合二甲双胍治疗多囊卵巢综合征合并胰岛素抵抗效果评估. 中国医药. 2023(02): 275-279 .
| |
| 10. |
史玉玲. 二甲双胍联合维生素E对多囊卵巢综合征患者生殖系统 糖脂代谢紊乱和性激素的调节作用. 中国实用乡村医生杂志. 2023(03): 32-35 .
| |
| 11. |
周丽娜，韩延华，耿甜甜，刘丽. 高雄激素和胰岛素抵抗对多囊卵巢综合征孕妇胎盘病理影响的研究进展. 实用临床医药杂志. 2023(11): 137-141 .
本站查看
| |
| 12. |
吴晓春. 屈螺酮炔雌醇片联合地塞米松治疗多囊卵巢综合征临床效果分析. 福建医药杂志. 2023(03): 82-84 .
| |
| 13. |
朱晓明，覃晓欣. 屈螺酮炔雌醇片联合二甲双胍治疗多囊卵巢综合征的临床观察. 实用妇科内分泌电子杂志. 2023(06): 52-54 .
| |
| 14. |
周春燕，蓝小春，邱慧，方玉林. 利拉鲁肽联合二甲双胍治疗2型糖尿病合并多囊卵巢综合征患者1例. 中华糖尿病杂志. 2023(Z1): 249-253 .
| |
| 15. |
陆丰华，周丽琴. 不同剂量来曲唑联合低分子肝素钙治疗多囊卵巢综合征不孕症患者的疗效分析. 中外医疗. 2023(33): 13-17 .
| |
| 16. |
叶小花，陈燕，张海华. 间苯三酚、维生素E及COOK双球囊在妊娠期高血压疾病合并宫缩乏力性产后出血患者中的应用研究. 实用妇科内分泌电子杂志. 2023(29): 1-3+16 .
| |
| 17. |
刘萌芳，陈怀金. 生酮饮食联合来曲唑、阿司匹林对多囊卵巢综合征不孕患者的影响. 中外医学研究. 2022(30): 119-122 .
| |
| 18. |
徐小娅，禹果，程兰兰，谭丽，赵冬梅. 不同促排卵方案在高龄卵巢储备功能低下人群中的应用研究. 中国实用妇科与产科杂志. 2022(12): 1219-1223 .
|
© 2020 《实用临床医药杂志》编辑部
Address: 江苏省扬州市江阳中路136号，扬州大学江阳路北校区14号楼201室China Pos: 225009Tel: 0514-87978917、87978989、87978807
Supported by:
Beijing Renhe Information Technology Co., Ltd.
苏公网安备 32100302010246号
DownLoad: