| Objectives A case-control study was conducted to analyze the related influencing factors of compliance with secondary prevention after percutaneous coronary intervention(PCI)in patients with first-episode ST-segment elevation myocardial infarction(STEMI),in order to provide evidence for improving compliance with secondary prevention and long-term prognosis.Methods From January 1,2016 to December 31,2018,589 patients with first STEMI and PCI in Tangshan Workers’ Hospital were continuously collected as research subjects.General information,related laboratory results and compliance with secondary prevention content after discharge were collected.Relevant literature was consulted to determine the scoring criteria for compliance with secondary prevention,and patients were divided into compliance group(126 cases)and non-compliance group(463 cases).SPSS23.0 was used for data analysis,and univariate difference analysis was conducted.Compliance was taken as the dependent variable,and statistically significant variables in univariate analysis were included into the subsequent binary logistic regression model for analysis.Results Among the 589 patients eventually enrolled,126 patients(21.4%)were in the secondary prevention compliance group.There were 463 cases(78.6%)in non-compliance group.Univariate analysis results: gender,age,education level,history of diabetes,history of alcohol consumption,creatinine,fasting blood glucose,living conditions,Whether you believe your condition will improve,whether you worry about the side effects of drugs,whether to perform PCI within 12 hours,the above results were all P<0.05,the difference was statistically significant.Logistic regression analysis showed that education level was positively correlated with compliance: High school(OR=6.195,95%CI:1.143-33.569),university OR above(OR=11.077,95%CI:1.947-63.036),female(OR=1.979,95%CI:1.046-3.744),believing in their own disease improvement(OR=0.417,95%CI:0.257-0.675),worrying about the side effects of drugs(OR=0.284,95%CI:0.175-0.462),living alone(OR=0.104,95%CI:0.022-0.495),no PCI within 12 hours(OR=1.741,95%CI:1.042-2.911),and drinking history(OR=0.401,95%CI:0.208-0.774)increased the risk of noncompliance,all of which were P<0.05.Conclusions The compliance of STEMI patients with secondary prevention after PCI is still not ideal,only 21.4% of patients fully comply with the guidelines one year after surgery.The influencing factors included gender,education level,drinking history,worry about the side effects of drugs,belief in their own disease improvement,living conditions,and whether PCI was performed within 12 hours.Figure 0;Table 6;Reference 167... |
