【摘要】 目的调查急性心肌梗死冠状动脉内支架植入术后患者饮食依从性的变化趋势及不同时期饮食依从性的影响因素。方法采用一般资料调查问卷和饮食依从性问卷、社会支持评定量表,对行冠状动脉内支架植入术的首次发作急性心肌梗死患者108例分别在术后3个月、6个月、9个月时进行饮食依从性电话回访调查。结果 108例冠状动脉内支架植入术后患者的院外饮食依从性水平较低,术后3个月、6个月、9个月时依从性总分别为(10.31±2.06)、(9.45±1.80)、(9.01±1.95)分。术后不同时期影响患者饮食依从性的影响因素有年龄、文化程度、植入支架数量、社会支持等。结论冠状动脉内支架植入术后患者的饮食依从性水平较低,应努力提高患者的社会支持,并根据不同时期依从性的影响因素进行有针对性的依从性干预,从而提高患者的饮食依从性。更多还原

【Abstract】 Objective To investigate the status of dietary compliance among patients with acute myocardial infarction after coronary sent implantation and to analyze its influencing factors of different periods. Methods Totally,108 patients with acute myocardial infarction after coronary sent implantation were recruited and surveyed with general data questionnaire,dietary compliance questionnaire and social support rating scale at 3,6 and 9 months after coronary stent implantation. Results The level of dietary compliance of patients after coronary stent implantation was relatively low,with scores of 3,6 and 9 months’ scores of dietary compliance were( 10. 31 ± 2. 06),( 9. 45 ± 1. 80) and( 9. 01 ± 1. 95) respectively. The influencing factors of dietary compliance were age,educational level,number of implanted stents and social support. Conclusion The level of dietary compliance is relatively low among patients with acute myocardial infarction after coronary stent implantation. Efforts should be made to improve social supports of patients,and interventions should be implemented according to the influencing factors of different periods,so as to improve patients’ dietary compliance after coronary stent implantation.更多还原