Trajectories and influencing factors of care dependency in patients after percutaneous coronary intervention
10.3760/cma.j.cn115682-20250225-00863
- VernacularTitle:经皮冠状动脉介入治疗术后患者护理依赖发展轨迹及其影响因素分析
- Author:
Dong ZHAO
1
;
Yahong CHEN
1
;
Xiao CUI
1
;
Hongwei ZHANG
1
Author Information
1. 吉林大学中日联谊医院介入手术室，长春 130033
- Publication Type:Journal Article
- Keywords:
Percutaneous coronary intervention;
Care dependency;
Self-efficacy;
Frailty;
Chronic disease resources
- From:
Chinese Journal of Modern Nursing
2025;31(27):3721-3727
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the developmental trajectories of care dependency in patients after percutaneous coronary intervention (PCI) and to identify its influencing factors.Methods:A convenience sampling method was used to recruit patients who underwent PCI at China-Japan Friendship Hospital of Jilin University from August 2023 to July 2024. The Chinese version of the Care Dependency Scale was administered at 1 week, 1 month, 3 months, and 6 months postoperatively. A latent growth mixture model was employed to identify trajectories of care dependency. Logistic regression analysis was used to examine the influencing factors.Results:A total of 397 questionnaires were distributed, and 389 valid questionnaires were returned, with a response rate of 97.98% (389/397). Three distinct trajectories of care dependency were identified among the 389 patients: stable low dependency, recovering high dependency, and persistent high dependency. Age, cardiac function classification, number of comorbidities, frailty, self-efficacy, and utilization of chronic disease resources were significantly associated with different trajectory classes ( P<0.05) . Conclusions:Care dependency after PCI exhibits heterogeneity in its developmental trajectories. Patients in the persistent high-dependency group represent a high-risk subgroup requiring special attention. Nursing staff should enhance their ability to recognize trajectory patterns and implement precise interventions based on trajectory type and influencing factors.
