■本研究旨在探讨接受冠状动脉血运重建的冠状动脉疾病(CAD)患者对术后抗血栓管理和预防的知识和态度(KA)。
■这项横断面研究纳入了2023年5月至12月在唐山开联医疗集团的冠心病门诊患者和住院患者。通过自制问卷收集基本人口学特征和KA评分。
■本研究包括523份有效问卷。平均知识和态度得分分别为13.20±6.20(范围:0-26)和43.68±6.01(范围:21-50),分别,表明知识贫乏,态度良好。多因素Logistic回归分析显示,初中文化程度(OR=2.160,P=0.035),高中或技校教育(OR=2.356,P=0.039),月平均收入>5,000元(OR=3.407,P=0.002)与知识独立相关。知识(OR=1.095,P=0.002),BMI≥24.0kg/m2(OR=0.372,P=0.011),初中(OR=3.699,P=0.002),高中或技校(OR=2.903,P=0.028),大专以上学历(OR=6.068,P=0.014),月平均收入3000-5000元(OR=0.296,P=0.005),月平均收入>5000元(OR=0.225,P=0.021),合并高血压(OR=0.333,P=0.003),每2-3周进行一次血液检查(OR=10.811,P=0.011),每月验血(OR=4.221,P=0.024),和每2-3个月的血液检查(OR=3.342,P=0.033)与态度独立相关。
■接受冠状动脉血运重建的CAD患者对术后抗血栓管理和预防的认识不足,但态度良好。这项研究强调了有针对性的教育的必要性,特别是对于教育程度和收入水平较低的个人,最终改善患者的依从性和心血管预后。
UNASSIGNED: This study aimed to explore the knowledge and attitude (KA) toward postoperative antithrombotic management and prevention among coronary artery disease (CAD) patients who underwent coronary revascularization.
UNASSIGNED: This cross-sectional study enrolled CAD outpatients and inpatients between May and December 2023 at Kailuan Medical Group at Tangshan. Basic demographic characteristics and KA scores were collected through a self-made questionnaire.
UNASSIGNED: This study included 523 valid questionnaires. The mean knowledge and attitude scores were 13.20 ± 6.20 (range: 0-26) and 43.68 ± 6.01 (range: 21-50), respectively, indicating poor knowledge and favorable attitude. Multivariable logistic regression analysis showed that junior high school education (OR = 2.160, P = 0.035), high school or technical school education (OR = 2.356, P = 0.039), and monthly average income >5,000 RMB (OR = 3.407, P = 0.002) were independently associated with knowledge. Knowledge (OR = 1.095, P = 0.002), BMI ≥ 24.0 kg/m2 (OR = 0.372, P = 0.011), junior high school (OR = 3.699, P = 0.002), high school or technical school (OR = 2.903, P = 0.028), high associate degree or above education (OR = 6.068, P = 0.014), monthly average income 3,000-5,000 RMB (OR = 0.296, P = 0.005), monthly average income > 5,000 RMB (OR = 0.225, P = 0.021), with hypertension (OR = 0.333, P = 0.003), blood tests every 2-3 weeks (OR = 10.811, P = 0.011), blood tests every month (OR = 4.221, P = 0.024), and blood tests every 2-3 months (OR = 3.342, P = 0.033) were independently associated with attitude.
UNASSIGNED: CAD patients who underwent coronary revascularization had poor knowledge but favorable attitudes toward postoperative antithrombotic management and prevention. The study underscores the need for targeted education, especially for individuals with lower education and income levels, ultimately improving patient compliance and cardiovascular outcomes.