| 陈业史,吴鹏,文敏,李俊宜,文晓慧,崔旭,何平平.急性心肌梗死患者创伤后应激障碍现状及影响因素分析.[J].中南医学科学杂志.,2021,(1):95-99. |
| 急性心肌梗死患者创伤后应激障碍现状及影响因素分析 |
| Post-traumatic stress disorder status and its influencing factors in patients with acute myocardial infarction |
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| DOI：10.15972/j.cnki.43-1509/r.2021.01.019 |
| 中文关键词: 急性心肌梗死 创伤后应激障碍 心理弹性 |
| 英文关键词:acute myocardial infarction post-traumatic stress disorder resilience |
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| 中文摘要: |
| 目的调查急性心肌梗死患者创伤后应激障碍现状及其影响因素。方法先采用分层随机抽样法从衡阳市5个城区中各随机抽取1个社区卫生服务中心；后采用整群抽样法,选取社区卫生服务中心建立的健康档案信息库中符合要求的210例急性心肌梗死患者进行横断面调查。结果急性心肌梗死患者创伤后应激障碍平均得分为(39.96±4.88)分。单因素分析表明不同性别、文化程度、个人月收入、发病时间、合并慢性病数量、心功能分级的急性心肌梗死患者创伤后应激障碍得分有差异(P＜0.05)。多元线性回归分析表明急性心肌梗死患者创伤后应激障碍得分的主要影响因素为文化程度和心功能分级(P＜0.05)。Pearson相关性分析表明,心理弹性水平与创伤后应激障碍得分负相关(r=－0.781,P＜0.001)。结论急性心肌梗死患者创伤后应激障碍处于中等水平,临床上应加强急性心肌梗死患者的心理护理,尤其是文化程度低、心功能分级高的急性心肌梗死患者,以降低患者的创伤后应激障碍水平,改善疾病恢复与预后。 |
| 英文摘要: |
| To investigate the PTSD status and its influencing factors in patients with AMI. MethodsStratified random sampling method was adopted to select 1 community health service center from each of the 5 urban districts of Hengyang city. Then cluster sampling method was adopted to select 210 patients with AMI who met the requirements in the health record information database established by the community health service center to conduct cross-sectional survey. ResultsThe average score of PTSD in patients with AMI was 39.96±4.88. Univariate analysis revealed that there were differences in scores of PTSD among AMI patients with different gender, education level, individual monthly income, onset time, number of chronic diseases and grade of cardiac function (P＜0.05). Multiple linear regression analysis revealed that the main influencing factors of PTSD in patients with AMI were education level and cardiac function grade (P＜0.05). Pearson correlation analysis revealed that resilience was negatively correlated with PTSD scores.ConclusionThe PTSD of patients with AMI is at a medium level. Medical staff should pay attention to the psychological nursing of patients with AMI, especially those with low education level and poor heart function, so as to reduce the level of PTSD and improve the recovery and prognosis of the disease. |
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