| Objective: A cross-sectional survey was conducted to investigate the level of disease perception in patients with acute myocardial infarction after emergency PCI,and on this basis,to analyze the relevant factors and the relationship between them and medication compliance,so as to provide a theoretical basis for clinical workers to formulate targeted interventions for patients and promote the recovery and prognosis of the disease.Methods: Patients with acute myocardial infarction after emergency percutaneous coronary intervention in a tertiary hospital,from December 2021 to December 2022,were selected for a questionnaire survey one month after discharge from the cardiology department.The questionnaire consisted of general information,disease-related information,the Perception of Disease Scale and the Medication Adherence Scale.Data entry was performed using Epi Data 3.1 software and statistical analysis was performed using SPSS 22 software.Quantitative data were statistically described by mean ±standard deviation or median ± interquartile spacing,and differences between groups were analyzed using t-tests or ANOVAs,and two-way comparisons were made using LSD-t or Tamhane tests.Qualitative data were statistically described using number of cases and composition ratios.p<0.05 differences were statistically significant.Multiple linear regression analyses were conducted using perceived disease score as the dependent variable and variables that were statistically different in the univariate analysis were set as independent variables.Pearson’s correlation analysis was used to correlate the patient’s perception of illness scores with medication adherence scores.Results:(1)Current status of symptom recognition: The average number of selfreported symptoms in patients with acute myocardial infarction after emergency PCI was three,and the average number of symptoms that patients could identify in relation to acute myocardial infarction was eight.Current status of disease attribution: Patients identified the main causative factors for the occurrence of acute myocardial infarction as hypertension,personal behavior and the main causative factors as behavioral factors.Disease perception status: six dimensions of disease duration,personal control,treatment control,disease consistency,circularity and emotional statement were below3.The difference between the consequence dimension score and the cut-off value of 3was not statistically significant.(2)In the univariate analysis,differences in disease perception scores were statistically significant for gender,age,education,occupation,marital status,mode of medical payment,monthly personal income,primary caregiver during and after intervention,physical activity,history of smoking,history of alcohol consumption,presence or absence of diabetes,place of residence,cardiac function class,number of diseased vessels,number of stents implanted,and whether PCI was performed for the first time.(3)The results of the multiple stepwise regression equation showed that the factors influencing the perception of disease after emergency PCI in patients with acute myocardial infarction were age,number of stents implanted,whether or not first PCI was performed,marital status,physical activity,ejection fraction 1 to 3 days after the procedure score,place of residence,occupation,primary caregiver during and after intervention,history of smoking,and history of diabetes mellitus.(4)Pearson correlation analysis showed that medication adherence after emergency PCI in patients with acute myocardial infarction was negatively correlated with disease duration,consequences,personal control,treatment control,disease consistency,disease circularity,and emotional statements in each dimension of disease perception,and immune and psychological factors scores were negatively correlated with medication adherence in each dimension of disease attribution.Conclusion:(1)Short-term disease perception after emergency PCI is better than moderate in patients with acute myocardial infarction.(2)The main factors influencing patients’ perception of disease after emergency PCI were age,number of stents implanted,whether or not first PCI was performed,marital status,physical activity,ejection fraction 1 to 3 days after the procedure,place of residence,occupation,primary caregiver during and after the intervention,history of smoking,and history of diabetes.(3)There was a negative correlation between medication adherence and perceived disease after emergency PCI in patients with acute myocardial infarction. |
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