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
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

Influencing factors of self-management ability of coronary heart disease patients after percutaneous coronary intervention and construction of nomogram model

More Information
  • Received Date: March 04, 2024
  • Revised Date: April 25, 2024
  • Objective 

    To analyze the influencing factors of self-management ability of coronary heart disease patients after percutaneous coronary intervention (PCI) and construct a nomogram model.

    Methods 

    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.

    Results 

    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.

    Conclusion 

    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.
  • Related Articles

    [1]MA Kaiyue, ZHANG Shu, HUANG Shixin, LI Xiaobo. Effect of Siwu Wuzi Decoction on vascular endothelial growth factor, transforming growth factor-β1 and inflammatory factor levels in patients with wet age-related macular degeneration[J]. Journal of Clinical Medicine in Practice, 2025, 29(4): 6-10. DOI: 10.7619/jcmp.20244475
    [2]HU Lele, WEI Yinyu, WANG Jinyan, ZHU Kunliang, LIU Guoying. Relationships of serum angiopoietin-like protein 4 and fibroblast growth factor 23 levels with severity and prognosis of patients with diabetes nephropathy[J]. Journal of Clinical Medicine in Practice, 2024, 28(18): 56-61. DOI: 10.7619/jcmp.20240358
    [3]XU Ying, XIAO Wenhuan, ZHAO Yilin, YANG Xiang, ZHONG Yunian. Relationship between cognitive function and fibroblast growth factor-2 in patients with schizophrenia and its gender difference[J]. Journal of Clinical Medicine in Practice, 2022, 26(14): 64-69. DOI: 10.7619/jcmp.20220046
    [4]HOU Baozhou, LI Huiping, WEI Sichen, MU Zongwei, LI Lijuan, TIAN Shuying. Clinical significance of serum vascular endothelial growth factor, soluble thymidine kinase-1 and T lymphocyte subsets in patients with primary hepatocellular carcinoma[J]. Journal of Clinical Medicine in Practice, 2022, 26(7): 98-102. DOI: 10.7619/jcmp.20214756
    [5]HAN Bei, HAN Junling, CAO Jinghao, YU Yang, GONG Qin. Relation between intact fibroblast growth factor 23 and renal anemia in maintenance hemodialysis patients[J]. Journal of Clinical Medicine in Practice, 2021, 25(21): 114-118. DOI: 10.7619/jcmp.20213812
    [6]CAI Liying, LUO Gang. Expression and significance of serum chemokine and fibroblast growth factor 21 in patients with diabetic retinopathy[J]. Journal of Clinical Medicine in Practice, 2021, 25(16): 76-80. DOI: 10.7619/jcmp.20211123
    [7]YANG Song, WANG Chaonan, GU Yuanyuan. Research advance in correlations between fibroblast growth factor-21 and occurrence as well as development of vascular complications of type 2 diabetes mellitus[J]. Journal of Clinical Medicine in Practice, 2021, 25(15): 128-132. DOI: 10.7619/jcmp.20210947
    [8]ZOU Xianjun, LI Hai, SUN Liang. Effect of Fufang Jingjie Fumigation Lotion on postoperativewound healing and expression of serum growth factors in patients after perianal abscess surgery[J]. Journal of Clinical Medicine in Practice, 2021, 25(9): 74-77. DOI: 10.7619/jcmp.20201801
    [9]WU Dingyong. Effect of anti-vascular endothelial growth factor in treating diabetic macular edema[J]. Journal of Clinical Medicine in Practice, 2020, 24(23): 106-109. DOI: 10.7619/jcmp.202023032
    [10]BU Chi-wen, YANG Quan-de, LIU Jing-hong, CHEN Qian. Expressions and significance of pituitary tumor - transforming gene and basic fibroblast growth factor in breast carcinoma[J]. Journal of Clinical Medicine in Practice, 2012, (7): 18-20. DOI: 10.3969/j.issn.1672-2353.2012.07.005

Catalog

    Article views PDF downloads Cited by()

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return