老年冠心病病人经皮冠状动脉介入治疗术后衰弱的概念分析

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：应用Walker和Avant经典概念分析法明确老年冠心病病人经皮冠状动脉介入治疗（PCI）术后衰弱的概念以及内涵。（剩余11911字）