Differences in risk factors between age groups of acute myocardial infarction patients based on regression analysis and the personalized nursing strategies

Tao Jing; Gong Xiaoxuan

doi:10.26939/j.cnki.CN11-9353/R.2025.01.005

Abstract：Objective Through regression analysis,to explore the differences in risk factors between age groups of acute myocardial infarction(AMI)patients,so as to develop personalized nursing strategies.Methods A retrospective analysis was conducted in a total of 427 AMI patients who visited the Department of Cardiology of Jiangsu Provincial People's Hospital from June 2023 to March 2024.They were divided into the<60-year-old group and the≥60-year-old group according to the age.Binary regression analysis was used to evaluate the independent effects of various factors on the occurrence of AMI.Results In the<60-year-old group,smoking(OR=6.69,95%CI:2.88～15.60),alcohol consumption(OR=5.35,95%CI:2.68～12.66),and exercise(OR=5.64,95%CI:0.22～10.88)were all important independent risk factors for AMI.It could be seen that lifestyle factors had particularly significant impacts on AMI patients in this group.In the≥60-year-old group,hyperglycemia(OR=4.95,95%CI:1.35～18.29),history of hypertension(OR=5.47,95%CI:2.48～12.08),history of diabetes(OR=6.37,95%CI:2.15～18.83),and coronary artery lesions(especially multi-vessel lesions,OR=33.00,95%CI:8.70～125.90)played dominant roles in the onset of AMI.The main difference between the two groups was that the onset of AMI in the<60-year-old group was mainly related to lifestyle factors(such as smoking and alcohol consumption),while the≥60-year-old group was more affected by the burden of chronic diseases(such as hypertension,diabetes,etc.)and arteriosclerosis.Conclusion Intervention strategies should vary for patients of different ages.For younger patients,the stragegy should prioritize strengthening lifestyle interventions,while for older patients the strategy needs to focus on chronic disease management and prevention of atherosclerosis.