Self-management in patients with coronary heart disease after stent implantation at the long-term stage: a cross-sectional study

作者：Haixiang Zhu, Guohong Chen, Xiaohui Xue, Sufen Zheng · 发表于：Annals of Palliative Medicine · 年份：2022 · DOI：10.21037/apm-21-2465 · 被引用次数：25 · 研究领域：Cardiac Health and Mental Health、Diabetes Management and Education、Acute Myocardial Infarction Research

BACKGROUND: The self-management of risk reduction in coronary heart disease (CHD) plays an important role in mediating health outcomes following percutaneous coronary intervention (PCI), but there is a lack of research on self-management status in the long-term stage after PCI in Chinese patients with CHD. Hence, this study investigated the self-management status in the long-term stage (>2 years) after PCI in patients with CHD. The results could provide a reference for the development of targeted interventions. METHODS: This cross-sectional study administered a questionnaire survey on self-management in patients with CHD who underwent PCI (convenience sampling) and had been discharged from our medical center for >2 years, excluding the patients with severe hepatic or renal dysfunction or tumor. Data about cardiovascular risk factors, including body mass index (BMI), total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), and self-management status, were collected. The Coronary Artery Disease Self-Management Scale (CSMS) was used to assess patient self-management. RESULTS: The total CSMS score was 69.5±11.0, suggesting that the patients' self-management level was average. The scores for life management, emotion management, and disease management were 87.4±9.7, 77.6±7.7, and 57.5±11.0, respectively. Significant differences were noted in the patients' self-management scores according to occupation, education level, residence, and sex (all P<0.05). The self-managemen...