冠状动脉血运重建患者术后抗血栓管理和预防的知识和态度:一项横断面研究

Chunlu Liu, Haijun Zhang, Liming Yang, Lihua Chen, Changhao Zu, Fangfang Wang, Yunjia Dai, Haiyan Zhao
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引用次数: 0

摘要

本研究旨在探讨接受冠状动脉血运重建手术的冠心病(CAD)患者对术后抗血栓管理和预防的知识和态度(KA)。本研究通过自制问卷收集了基本人口学特征和 KA 评分。知识和态度的平均得分分别为(13.20±6.20)分(范围:0-26)和(43.68±6.01)分(范围:21-50),表明知识贫乏和态度良好。多变量逻辑回归分析表明,初中学历(OR = 2.160,P = 0.035)、高中或中专学历(OR = 2.356,P = 0.039)和月均收入大于 5,000 元(OR = 3.407,P = 0.002)与知识水平独立相关。知识(OR = 1.095,P = 0.002)、体重指数≥ 24.0 kg/m2 (OR = 0.372,P = 0.011)、初中(OR = 3.699,P = 0.002)、高中或中专(OR = 2.903,P = 0.028)、副高及以上学历(OR = 6.068,P = 0.014)、月均收入 3000-5000 元(OR = 0.296,P = 0.005)、月均收入大于 5000 元(OR = 0.225,P = 0.021)、患有高血压(OR = 0.333,P = 0.003)、每 2-3 周抽血检查一次(OR = 10.811,P = 0.011)、每月抽血检查一次(OR = 4.221,P = 0.024)、每 2-3 个月抽血检查一次(OR = 3.342,P = 0.033)与态度独立相关。这项研究强调了有针对性教育的必要性,尤其是针对教育程度和收入水平较低的人群,从而最终改善患者的依从性和心血管预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Knowledge and attitude toward postoperative antithrombotic management and prevention in patients with coronary revascularization: a cross-sectional study
This study aimed to explore the knowledge and attitude (KA) toward postoperative antithrombotic management and prevention among coronary artery disease (CAD) patients who underwent coronary revascularization.This cross-sectional study enrolled CAD outpatients and inpatients between May and December 2023 at Kailuan Medical Group at Tangshan. Basic demographic characteristics and KA scores were collected through a self-made questionnaire.This study included 523 valid questionnaires. The mean knowledge and attitude scores were 13.20 ± 6.20 (range: 0–26) and 43.68 ± 6.01 (range: 21–50), respectively, indicating poor knowledge and favorable attitude. Multivariable logistic regression analysis showed that junior high school education (OR = 2.160, P = 0.035), high school or technical school education (OR = 2.356, P = 0.039), and monthly average income >5,000 RMB (OR = 3.407, P = 0.002) were independently associated with knowledge. Knowledge (OR = 1.095, P = 0.002), BMI ≥ 24.0 kg/m2 (OR = 0.372, P = 0.011), junior high school (OR = 3.699, P = 0.002), high school or technical school (OR = 2.903, P = 0.028), high associate degree or above education (OR = 6.068, P = 0.014), monthly average income 3,000–5,000 RMB (OR = 0.296, P = 0.005), monthly average income > 5,000 RMB (OR = 0.225, P = 0.021), with hypertension (OR = 0.333, P = 0.003), blood tests every 2–3 weeks (OR = 10.811, P = 0.011), blood tests every month (OR = 4.221, P = 0.024), and blood tests every 2–3 months (OR = 3.342, P = 0.033) were independently associated with attitude.CAD patients who underwent coronary revascularization had poor knowledge but favorable attitudes toward postoperative antithrombotic management and prevention. The study underscores the need for targeted education, especially for individuals with lower education and income levels, ultimately improving patient compliance and cardiovascular outcomes.
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