老年冠心病病人經(jīng)皮冠狀動(dòng)脈介入治療術(shù)后衰弱的概念分析
Conceptual analysis of postoperative frailty in elderly patients with coronary heart disease after percutaneous coronary intervention
XU Haiyue SUN Wenxia
1.School of Nursing，Yanbian University，Jilin 133002 China；2.Yanbian University Affiliated Hospital
Corresponding Author SUN Wenxia，E-mail：wx.sun82@163.com
Abstract Objective：To define the concept and connotation of postoperative frailty in elderly patients with coronary heart disease after percutaneous coronary intervention（PCI） using Walker and Avant's classic concept analysis method.Methods：Databases including EMbase，Web of Science，PubMed，CINAHL，CNKI，WanFang Database，VIP and SinoMed were systematically searched for literature related to postoperative frailty after PCI in elderly patients with coronary heart disease.The retrieval time was from the inception to December 19，2023.To analyze the antecedents and consequences and defining attributes of the concept of postoperative frailty after PCI.Results：A total of 34 articles were included.Postoperative frailty in elderly patients with coronary heart disease after PCI included 4 attributes：elderly patients after PCI，high cardiovascular risk factors，heavy comorbidity burden and high risk of adverse outcomes.The antecedents included demographic data，poor individual health status，unhealthy lifestyle，PCI treatment factors and low family care.The consequences included increased adverse events，psychosocial effects，and consumption of health care resources.Conclusion：Clarifying the concept of postoperative frailty in elderly patients with coronary heart disease after PCI through concept analysis can help clinical medical staff identify the risk of frailty as soon as possible and give targeted measures，so as to improve the adverse outcomes and provide a reference for carrying out related research.
Keywords the elderly; percutaneous coronary intervention; frailty; concept analysis
摘要 目的：應(yīng)用Walker和Avant經(jīng)典概念分析法明確老年冠心病病人經(jīng)皮冠狀動(dòng)脈介入治療（PCI）術(shù)后衰弱的概念以及內(nèi)涵。（剩余11911字）