首页|期刊导航|甘肃医药|中老年PCI术后患者核心症状及其影响因素的网络分析

中老年PCI术后患者核心症状及其影响因素的网络分析OA

Network analysis of core symptoms and their influencing factors in middle-aged and elderly patients after PCI

中文摘要英文摘要

目的:构建中老年经皮冠状动脉介入治疗(PCI)术后患者症状网络,识别网络中的核心症状及其影响因素.方法:便利选取2024年7月至2025年1月在安徽省某三级甲等医院行 PCI 术后 1 周的233例中老年 PCI 术后患者,采用心脏症状调查量表调查术后患者症状发生情况及严重程度;通过R语言构建症状网络,分析中心性指标;采用多元线性回归分析其影响因素.结果:症状网络分析显示疲劳与困倦为中老年 PCI 术后患者的核心症状;多元线性回归分析结果显示,饮茶或咖啡习惯、睡眠质量、社会支持程度是中老年PCI术后患者核心症状的影响因素.结论:疲劳与困倦是中老年PCI术后患者的核心症状,饮茶或咖啡习惯、睡眠质量、社会支持程度是其影响因素.建议医护人员针对核心症状及其影响因素构建精准症状管理方案,提升患者整体康复效果和生活质量.

Objective:To construct a symptom network for middle-aged and elderly patients after PCI surgery and identify the core symptoms and their influencing factors in the network.Methods:A total of 233 middle-aged and elderly patients who underwent PCI surgery in a tertiary grade A hospital in Anhui Province from July 2024 to January 2025 and were one week post-surgery were conveniently selected.The oc-currence and severity of postoperative symptoms were investigated using the Cardiac Symptom Questionnaire.A symptom network was construct-ed using R language to analyze the centrality indicators.Multiple linear regression was used to analyze the influencing factors.Results:Symptom network analysis showed that fatigue and drowsiness were the core symptoms of middle-aged and elderly patients after PCI surgery.Multiple lin-ear regression analysis results indicated that tea or coffee consumption,sleep quality,and social support degree were the influencing factors of core symptoms in middle-aged and elderly patients after PCI surgery.Conclusion:Fatigue and drowsiness are the core symptoms of middle-aged and elderly patients after PCI surgery,and tea or coffee consumption,sleep quality,and social support degree are the influencing factors.It is suggested that medical staff should construct a precise symptom management plan based on core symptoms and their influencing factors to im-prove the overall rehabilitation effect and quality of life of patients.

薛一凡;王培媛;胡桂洁;曹教育;陈霞

安徽中医药大学护理学院,安徽 合肥 230012安徽中医药大学护理学院,安徽 合肥 230012蚌埠医科大学护理学院,安徽 蚌埠 233030中国科学技术大学附属第一医院,安徽 合肥 230012中国科学技术大学附属第一医院,安徽 合肥 230012

医药卫生

中老年经皮冠状动脉介入术核心症状网络分析

middle-aged and elderlypercutaneous coronary interventioncore symptomsnetwork analysis

《甘肃医药》 2026 (3)

240-244,5

1.中华护理学会2024年度立项科研课题(编号:ZHKY202416)2.中华医学会杂志社2021~2022年护理学科研究课题(编号:CMAPH-NRP2021008)

10.15975/j.cnki.1004-2725.2026.03.010

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