肺栓塞患者疾病相关知识认知情况的危险因素分析
|
摘要
目的调查影响肺栓塞患者疾病相关知识认知情况的危险因素。方法随机抽取2014年5月至2017年12月于我院就诊的284例肺栓塞患者为研究对象,记录性别、年龄、病程、工作情况、健康教育、文化程度,了解患者对肺栓塞疾病相关知识的认知情况,采用逐步logistic回归分析肺栓塞患者疾病相关知识认知情况的危险因素。结果 284例肺栓塞患者对临床表现认知最高,危险因素了解最少;相关因素比较显示,不同年龄、病程、工作情况、健康教育、文化程度的肺栓塞患者疾病相关知识认知情况比较差异有统计学意义(P <0. 05);逐步logistic回归分析显示,年龄> 50岁、未行健康教育、文化程度过低(高中以下)是导致肺栓塞患者疾病相关知识认知较差的独立危险因素(P <0. 05),病程> 2年是保护因素(P <0. 05)。结论大部分肺栓塞患者对临床表现认知度最高,年龄> 50岁、未行健康教育、文化程度过低是导致肺栓塞患者疾病相关知识认知情况较差的独立危险因素。
Objective To investigate the risk factors affecting the cognitive status of disease-related knowledge in patients with pulmonary embolism.Methods A total of 284 patients with pulmonary embolism who were admitted to our hospital from May 2014 to December 2017 were selected as the study subjects. We recorded the gender,age,course of disease,work status,health education,and education levels,and understood the patient's cognitive status of knowledge related to pulmonary embolism. We used stepwise logistic regression to analyze risk factors for disease-related knowledge in patients with pulmonary embolism. Results There were 284 patients with pulmonary embolism had the highest clinical cognition and the least understanding of risk factors.The comparison of related factors showed that there was statistical significance in the differences of cognitive status of disease-related knowledge among patients with pulmonary embolism of different ages,course of disease,work status,health education and education level( P < 0. 05). Stepwise logistic regression analysis showed that age > 50 years,lack of health education,and low educational level( below high school) were independent risk factors for poor cognitive status of disease-related knowledge in patients with pulmonary embolism( P < 0. 05). The course of disease > 2 years was the protection factor( P< 0. 05). Conclusion Most patients with pulmonary embolism have higher recognition for clinical manifestation. The age > 50 years,lack of health education,and low educational level were independent risk factors for poor cognitive status of disease-related knowledge in patients with pulmonary embolism.
Objective To investigate the risk factors affecting the cognitive status of disease-related knowledge in patients with pulmonary embolism.Methods A total of 284 patients with pulmonary embolism who were admitted to our hospital from May 2014 to December 2017 were selected as the study subjects. We recorded the gender,age,course of disease,work status,health education,and education levels,and understood the patient's cognitive status of knowledge related to pulmonary embolism. We used stepwise logistic regression to analyze risk factors for disease-related knowledge in patients with pulmonary embolism. Results There were 284 patients with pulmonary embolism had the highest clinical cognition and the least understanding of risk factors.The comparison of related factors showed that there was statistical significance in the differences of cognitive status of disease-related knowledge among patients with pulmonary embolism of different ages,course of disease,work status,health education and education level( P < 0. 05). Stepwise logistic regression analysis showed that age > 50 years,lack of health education,and low educational level( below high school) were independent risk factors for poor cognitive status of disease-related knowledge in patients with pulmonary embolism( P < 0. 05). The course of disease > 2 years was the protection factor( P< 0. 05). Conclusion Most patients with pulmonary embolism have higher recognition for clinical manifestation. The age > 50 years,lack of health education,and low educational level were independent risk factors for poor cognitive status of disease-related knowledge in patients with pulmonary embolism.
引文
[1]苏杰,王琼萍,顾红.综合护理干预在急性肺栓塞患者静脉溶栓治疗中的应用[J].护理实践与研究,2018,15(13):53-54.
[2]吴海燕.临床路径干预模式在呼吸科肺栓塞高危人群中的应用[J].护理实践与研究,2018,15(14):37-39.
[3]陈细细,柯蕾.高龄老年肺栓塞患者临床特点分析[J].临床肺科杂志,2016,21(4):736-738.
[4]裘宇芳.肺栓塞235例临床分析[J].中国全科医学,2016,19(12):211-212.
[5]张蔚卿,章卫国,朱丽,等.医疗失效模式与效应分析对肺栓塞患者院外口服华法令自我管理的影响[J].护理学报,2017,24(8):8-11.
[6]Leuschner G,Wenter V,Milger K,et al.Suspected pulmonary embolism in patients with pulmonary fibrosis:Discordance between ventilation/perfusion SPECT and CT pulmonary angiography[J].Respirology,2016,21(6):1081-1087.
[7]李有霞,郑则广,刘妮,等.慢性阻塞性肺疾病急性加重伴肺动脉栓塞的危险因素分析[J].中华结核和呼吸杂志,2016,39(4):298-303.
[8]郭春月,尹素凤,胡泊,等.肺栓塞患者预后评估研究进展[J].中国全科医学,2016,19(20):2375-2379.
[9]徐洪艳.综合护理干预对肺栓塞介入术治疗患者生活质量的影响价值分析[J].中国现代药物应用,2018,12(5):173-174.
[10]叶雅丽.综合护理干预在肺栓塞患者护理中的应用[J].中外医学研究,2018,16(28):91-92.
[2]吴海燕.临床路径干预模式在呼吸科肺栓塞高危人群中的应用[J].护理实践与研究,2018,15(14):37-39.
[3]陈细细,柯蕾.高龄老年肺栓塞患者临床特点分析[J].临床肺科杂志,2016,21(4):736-738.
[4]裘宇芳.肺栓塞235例临床分析[J].中国全科医学,2016,19(12):211-212.
[5]张蔚卿,章卫国,朱丽,等.医疗失效模式与效应分析对肺栓塞患者院外口服华法令自我管理的影响[J].护理学报,2017,24(8):8-11.
[6]Leuschner G,Wenter V,Milger K,et al.Suspected pulmonary embolism in patients with pulmonary fibrosis:Discordance between ventilation/perfusion SPECT and CT pulmonary angiography[J].Respirology,2016,21(6):1081-1087.
[7]李有霞,郑则广,刘妮,等.慢性阻塞性肺疾病急性加重伴肺动脉栓塞的危险因素分析[J].中华结核和呼吸杂志,2016,39(4):298-303.
[8]郭春月,尹素凤,胡泊,等.肺栓塞患者预后评估研究进展[J].中国全科医学,2016,19(20):2375-2379.
[9]徐洪艳.综合护理干预对肺栓塞介入术治疗患者生活质量的影响价值分析[J].中国现代药物应用,2018,12(5):173-174.
[10]叶雅丽.综合护理干预在肺栓塞患者护理中的应用[J].中外医学研究,2018,16(28):91-92.