摘要
目的:基于症状管理理论探索冠心病病人恐惧疾病进展(FoP)的危险因素。方法:采用便利整群抽样法选取2020年3月—2020年9月在内蒙古某两所综合性医院心血管内科住院的370例冠心病病人作为研究对象,采用中文版FoP简化量表(FoP⁃Q⁃SF)、自行设计的一般资料调查表、家庭关怀度指数问卷(FAI)、社会支持评定量表(SSRS)、疼痛数字评价量表(NRS)及中文修订版控制态度量表(CAS⁃R)进行调查。结果:冠心病病人FoP⁃Q⁃SF得分为(30.15±10.56)分,FoP发生率为35.1%。Logistic回归分析结果显示,女性、年龄较小、有冠心病家族史、有经皮冠状动脉介入治疗(PCI)手术史、较低的感知控制、家庭功能中度或严重障碍、中等水平或低水平社会支持、重度或剧烈疼痛是冠心病病人FoP发生的独立危险因素(P<0.05)。结论:冠心病病人FoP的发生率较高,应多加关注女性、年龄<60岁的病人群体,防范具有冠心病家族史、经历过PCI手术的病人发生FoP水平失调,冠心病病人可通过良好的家庭功能利用内外部资源,有效提高社会支持水平。
Objective:To explore risk factors of fear of progression(FoP)in patients with coronary heart disease based on symptom management theory.Methods:A total of 370 patients with coronary heart disease who were hospitalized in cardiovascular medicine ward of two general hospitals in Inner Mongolia were selected as subjects by convenience cluster sampling method from March 2020 to September 2020.The Chinese version of Fear of Progression Questionnaire⁃Short Form(FoP⁃Q⁃SF),self-designed general information questionnaire,Family Apgar Index(FAI),Social Support Rating Scale(SSRS),Numerical Rating Scale(NRS)and Control Attitudes Scale⁃Revised(CAS⁃R)were used to evaluate investigation.Results:The FoP⁃Q⁃SF score of patients with coronary heart disease was 30.15±10.56,and incidence rate of FoP was 35.1%.The results of Logistic regression analysis showed that female,younger age,family history of coronary heart disease,history of percutaneous coronary intervention(PCI),lower perceived control,moderate or severe impairment of family function,moderate or low level social support,serious or severe pain were independent risk factors for the occurrence of FoP psychological dysfunction in patients with coronary heart disease(P<0.05).Conclusions:The incidence of FoP psychological dysfunction in patients with coronary heart disease is relatively high.More attention should be paid to women and patients aged<60 years,to prevent FoP psychological dysfunction in patients with family history of coronary heart disease or have undergone PCI surgery.Patients with coronary heart disease can use internal and external resources through good family functions and improve level of social support.
作者
刘瑾文
刘鸣雷
齐艳
LIU Jinwen;LIU Minglei;QI Yan(Hulunbuir People's Hospital,Inner Mongolia 021000 China;不详)
出处
《护理研究》
北大核心
2022年第10期1771-1778,共8页
Chinese Nursing Research
关键词
恐惧疾病进展
冠心病
症状管理
影响因素
护理
fear of progression
coronary heart disease
symptom management
influencing factors
nursing
作者简介
刘瑾文,护师,硕士,E⁃mail:584536857@qq.com。
