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学科主题: 护理学
题名:
冠心病患者主要危险因素控制现状及影响因素研究
作者: 周敏
答辩日期: 2014-05-29
导师: 张洪君
专业: 护理学
授予单位: 北京大学
授予地点: 北京大学护理学院
学位: 硕士
关键词: 冠心病 ; 危险因素 ; 控制现状 ; 影响因素
其他题名: Control Status and Influencing Factors of the Main Risk
分类号: R473.54
摘要:

目的:调查冠心病患者主要危险因素(高血压、高血脂、吸烟)的控制状况并分析影响危险因素达标的因素,为开展冠心病患者危险因素的干预提供理论依据。

方法:本研究为现况调查。采用方便取样法选取20137-201312月在北京市某三甲医院心内科门诊就诊,至少具有高血压、高血脂、吸烟这三个危险因素之一的114例冠心病患者作为研究对象。采用自设的调查问卷对患者的人口社会学资料、疾病相关资料以及主要危险因素(高血压、高血脂、吸烟)的管理状况进行调查。

结果:

    1. 本组冠心病患者血压、血脂的达标率以及戒烟率分别为85%61%57.3%

2. 影响本组冠心病患者戒烟行为的因素包括疾病的治疗方式和每日吸烟支数。血压达标与是否遵医嘱服药有关。

结论:

1.本组冠心病患者三个主要危险因素(高血压、高血脂、吸烟)中,血压的控制状况最好,血脂和吸烟的控制状况较差。

2.相比药物治疗的冠心病患者,介入治疗或冠脉搭桥术的患者有更强的戒烟动力。

3.每日吸烟量大的冠心病患者戒烟更困难

英文摘要:

Objective: To investigate control status and Influencing factors of the main risk factors of patients with coronary heart disease

Methods: It was a cross-sectional study. One hundred and fourteen patients of coronary heart disease with hypertension or dyslipidemia or smoking who were followed up at cardiology clinic of Peking University Third Hospital from July 2013 to November 2013 entered the study by convenient sampling method. A self-designed scale was used to investigate their demographic data , clinical information and control status of hypertension or dyslipidemia or smoking.

Results:

1. Control rate of hypertension, dyslipidemia and quit rates of the group of patients with coronary heart disease are 85%, 61%, 57.3%.

2. Factors affecting smoking cessation behavioral of patients with coronary heart disease including treatment of disease and the number of cigarettes smoked per day. Whether blood pressure drops to normal level is related to medication compliance.

Conclusion:

1. The three major risk factors of the group of patients with coronary heart disease (high blood pressure, dyslipidemia, smoking), the control status of the best is blood pressure, while dyslipidemia and smoking control in poor condition.

2. Compared to drug therapy in patients with coronary heart disease, patients with percutaneous coronary intervention or coronary artery bypass grafting have a stronger motivation to quit smoking.

3. The greater of the amount of cigarettes smoked per day with coronary heart disease, it’s more difficult to quit smoking.

语种: 中文
相关网址: 查看原文
内容类型: 学位论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/108193
Appears in Collections:北京大学护理学院_学位论文

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作者单位: 北京大学护理学院

Recommended Citation:
周敏. 冠心病患者主要危险因素控制现状及影响因素研究[D]. 北京大学护理学院. 北京大学. 2014.
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