Analysis of Factors Influencing Patients' Self-Management Ability after Permanent Pacemaker Implantation and Construction of an Intervention Model

Abstract

Abstract: Objective To understand the current status of self-management ability of patients after permanent pacemaker implantation, analyze the relevant influencing factors, and construct an intervention model by weighting the influencing factors. Methods A total of 210 patients who underwent permanent pacemaker implantation in the Department of Cardiology of a tertiary hospital in Xinjiang from January 2020 to January 2023 were selected as the study subjects, and the questionnaire method was used to collect the self-management ability of the patients in the 6 months after the operation, and the influencing factors of the patients' self-management ability after the operation were investigated by using univariate and logistic regression analysis. The intervention model was constructed according to the analysis results, and the feasibility of the model entries was verified by using ROC curves. Results The patients' self-management ability was generally poor (score of 60.23%); the results of univariate analysis showed that 9 factors, including age, disease duration, and literacy level, were the influencing factors of the patients' self-management ability after surgery; the results of logistic regression analysis showed that 6 factors, including the presence of complications, the literacy level of elementary school and below, and the absence of chronic diseases, were the independent factors affecting the low self-management ability. By analyzing the results of logistic regression risk factors (weights) and ROC curves, the preliminary model was established to improve the ability of "patients with complications,The intervention model of postoperative self-management ability of patients with "elementary school education or below, chronic disease history and disease duration ≤5 years" was constructed. Conclusion Constructing a self-management intervention model for patients after pacemaker implantation based on evidence-based concepts has good theoretical and practical value for the improvement of self-management ability of postoperative patients.

Key words: Permanent Pacemaker Implantation, Self-management Ability, Intervention Modeling

CLC Number:

R473.5

ZHU Yu, SHI Chao. Analysis of Factors Influencing Patients' Self-Management Ability after Permanent Pacemaker Implantation and Construction of an Intervention Model[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(12): 5-9.

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