【摘要】 目的 了解经皮冠状动脉介入治疗（PCI）术后患者的生活质量现状，并分析其影响因素。方法采用便利抽样法，选取2020年7月至2021年2月因冠心病在某三级甲等综合性医院心内科住院行PCI治疗的371例术后患者作为研究对象。采用一般资料调查问卷、12条目简明健康调查量表（SF-12）、广泛性焦虑障碍量表（GAD-7）、患者健康问卷（PHQ-9）及一般自我效能感量表（GSES）对其进行调查，采用多元线性回归分析冠心病PCI术后患者生活质量的影响因素。结果 纳入的371例PCI术后患者的SF-12得分为（90.11±11.64）分，处于较低水平。多元线性回归分析显示，年龄、性别、居住地、医疗费用支付方式、脑钠肽（BNP）水平，以及GAD-7与PHQ-9得分均对PCI术后患者的生活质量有一定影响（P<0.05），累积可解释因变量23.9%的变异（F=11.563,P<0.001）。结论 冠心病PCI术后患者生活质量不容乐观，且不同特征患者的生活质量存在差异。医护人员应同时关注患者的生理指标及心理状态，并在患者出院前对其进行个性化指导，促进患者术后康复。更多还原

【Abstract】 Objective To analyze the current quality of life and its influencing factors in patients undergoing percutaneous coronary intervention(PCI). Methods A total of 371 patients were selected by convenience sampling who underwent PCI in the Cardiology Department at a Grade Ⅲ-A general hospital due to coronary heart disease from July 2020 to February 2021. They were investigated using the General Information Questionnaire, 12-Item Short Form Survey(SF-12), General Anxiety Disorder-7(GAD-7), Patient Health Questionnaire-9(PHQ-9) and General Self-Efficacy Scale(GSES). Multiple linear regression was used to analyze the factors influencing the quality of life in these patients. Results The 371 patients undergoing PCI scored(90.11 ± 11.64) points for SF-12, indicating a low level. Multiple linear regression analysis showed that age, gender, place of residence, mode of medical expense payment, brain natriuretic peptide(BNP) level, GAD-7 score and PHQ-9 score all had a certain influence on the quality of life in patients undergoing PCI(P<0.05), cumulatively explaining 23.9% of the variation in the dependent variable(F=11.563, P<0.001).Conclusion The quality of life in patients who underwent PCI due to coronary heart disease is not optimistic.Differences in quality of life were found in patients with different characteristics. Healthcare providers should closely monitor the physiological indicators and psychological state of these patients and provide tailored discharge guidance to promote their postoperative rehabilitation. Percutaneous coronary intervention;更多还原