接受經皮冠狀動脈血管成型術之出院病患健康生活型態之探討

An Exploration of Healthy Lifestyle Factors in Percutaneous Coronary Intervention Patients Following Discharge

10.6225/JEBN.2.3.210

陳明惠(Ming-Hui Chen)；陳清惠(Ching-Huey Chen)；顏妙芬(Miao-Fen Yen)

冠狀動脈疾病 ； 經皮冠狀動脈血管成型術 ； 健康生活型態 ； coronary artery disease CAD ； percutaneous coronary intervention PCI ； healthy lifestyle

實證護理

2卷3期（2006 / 09 / 01）

210 - 218

繁體中文

根據世界衛生組織(2003)統計，全球每年約有一千七百萬人死於心血管疾病。而心血管疾病中又以罹患冠狀動脈血管疾病(coronary artery disease，CAD)最為常見。經皮冠狀動脈血管成型術(percutaneous coronary intervention，PCI)為CAD患者主要的內科治療措施之一，然而無論何種措施，健康生活型態的維護為避免冠狀動脈血管再阻塞所不可或缺的。本研究目的為探討接受PCI之患者於治療出院後，健康生活型態包括抽菸、飲酒、運動、飲食、壓力處理及服藥遵從行為之現況。採橫斷式調查法，以方便取樣方式於台南市某醫學中心，共63位初次接受PCI治療後3至18個月患者參與研究，藉由結構式問卷及面談方式收集資料，並以SPSS 10.0統計軟體進行描述性統計分析。研究結果顯示，有抽菸、飲酒及規律運動患者百分比分別為17.5%、15.9%及61.9%。飲食行為、壓力處理行為及服藥遵從行為，以5分法計分，各行為平均得分為3.84(SD=1.07)、3.09(SD=1.23)及4.63(SD=0.88)。由此，醫護人員對接受PCI治療之CAD患者在六項健康生活型態的臨床衛教上須再加強。

The World Health Organization reported in 2003 that more than seventeen million people die of cardiovascular diseases each year. Among these, coronary artery disease (CAD) ranks as the leading cause of death. At present, the main therapeutic procedure for CAD patients is percutaneous coronary intervention (PCI). However, no matter what type of treatment is received by a patient, living a healthy lifestyle is very important in order to prevent disease recurrence. The purpose of this study was to investigate factors related to individual health, including smoking, drinking, physical exercise, eating, stress management, and adherence to medication regimen, among patients with CAD discharged after undergoing PCI. This was a survey study. Convenient sampling was used to recruit 63 subjects who had received an initial PCI and who had been discharged between 3 and 18 months from a Tainan-area medical center. Structured questionnaires and face-to-face interviews were used to collect data. SPSS/PC software version 10.0 was used to apply descriptive statistics to data analysis. The results showed that percentages of subjects' smoking, drinking, and regular exercise were 17.5%, 15.9%, and 61.9%, respectively. Average scores for eating, stress management and medication regimen, as rated on a 5-point Likert Scale, were 3.84 (SD=1.07), 3.09 (SD=1.23), and 4.63 (SD=0.88), respectively. The findings suggested that more health education and instruction on the six healthy lifestyle factors are needed for CAD patients with PCI.