Status quo and influencing factors of prehospital self-rescue ability in patients with coronary heart disease

ObjectiveTo explore the current situation and influencing factors of prehospital self-rescue ability in patients with coronary heart disease.

MethodsA total of 189 patients with coronary heart disease were selected as the research object, and the self-rescue ability of the patients was investigated through the pre-hospital self-help ability questionnaire.The patients were divided into the high ability group and the low ability group according to the self-rescue ability score.The sociodemographic characteristics, past history, and disease cognition of the two groups were compared, and multiple linear regression was used to analyze the related factors affecting self-rescue ability.

ResultsAmong the 189 questionnaires, 3 invalid questionnaires were excluded, and 186 valid questionnaires were finally obtained, including the high-ability group (89 cases) and the low-ability group (97 cases).There were statistically significant differences between the two groups in age, gender, whether to live alone, education level and place of residence (P < 0.05).There was no statistically significant difference in body mass index, ethnicity, marital status, monthly income, and medical insurance (P>0.05).The difference between the two groups with or without cerebrovascular disease, hyperlipidemia, and family history of coronary heart disease was statistically significant (P < 0.05), and the difference between the two groups with or without diabetes and hypertension was not statistically significant (P>0.05).The difference in disease awareness, relevant training, self-rescue information and sources of self-rescue knowledge between the two groups was statistically significant (P < 0.05).Multiple linear regression analysis showed that age, lack of disease awareness, self-rescue knowledge from family members and self-rescue information sources from propaganda boards significantly negatively affected the pre-hospital self-rescue ability of coronary heart disease patients.In addition, the course of disease and self- rescue training experience had a significant positive impact on coronary heart disease.The prehospital self-rescue ability of patients with heart disease (P < 0.05 to P < 0.01).

ConclusionsPatients with older age, lack of disease awareness, self-rescue knowledge from family members and self-rescue information from propaganda boards had low pre-hospital self-rescue ability, while those with long disease duration and self-rescue training experience had the higher pre-hospital self-rescue ability.