摘要
目的 探讨急性心肌梗死患者经皮冠状动脉介入治疗(PCI)后急性心理应激现状。方法 选取150例急性心肌梗死行PCI的患者为研究对象。采用基本信息问卷、斯坦福急性应激反应问卷(SASRQ)以及生活质量综合评定问卷(GQOLI-74)对患者进行问卷调查。结果 急性心肌梗死行PCI后患者的急性心理应激得分为(45.38±8.94)分。患者急性心理应激分为3个潜在剖面类别,分别为低应激(C1组,n=53)、中度应激障碍高回避(C2组,n=59)和重度应激障碍反复体验(C3组,n=30)。3组的年龄、性别、居住方式及胸痛评分比较,差异有统计学意义(P<0.05)。急性心肌梗死行PCI后患者的生活质量评分为(194.67±34.95)分。C1组患者的生活质量水平高于C2组和C3组,差异有统计学意义(P<0.01);C2组患者的生活质量水平高于C3组,差异有统计学意义(P<0.05)。结论 临床工作人员应辨别不同类别患者的特征,重视潜在剖面为重度应激障碍反复体验的患者,并及时开展必要的心理干预,以改善患者后续治疗效果及预后。
Objective To investigate the current status of acute psychological stress among pa-tients with acute myocardial infarction after percutaneous coronary intervention(PCI).Methods A total of 150 patients with acute myocardial infarction who underwent PCI were selected as study sub-jects.The patients were surveyed through questionnaires usingBasic Information Questionnaire,the Stanford Acute Stress Response Questionnaire(SASRQ)and Comprehensive Quality of Life Assess-ment Questionnaire(GQOLI-74).Results The score of acute psychological stress in patients with acute myocardial infarction after PCI was(45.38±8.94).The acute psychological stress of patients was divided into three potential profile categories,namely low stress(C1 group,n=53),moderate stress disorder with high avoidance(C2 group,n=59),and severe stress disorder with repeated ex-perience(C3 group,n=30).There were statistically significant differences in age,gender,resi-dence style and chest pain score among the three groups(P<0.05).The score of quality of life for patients with acute myocardial infarction after PCI was(194.67±34.95).The quality of life level of patients in C1 group was higher than that in the C2 and C3 groups,and the difference was statistically significant(P<0.01).The quality of life level of patients in the C2 group was higher than that in the C3 group,and the difference was statistically significant(P<0.05).Conclusion Clinical staff should identify the characteristics of different types of patients,attach importance to patients with a potential profile of repeated experiences of severe stress disorder,and carry out necessary psychological intervention in a timely manner to improve the subsequent treatment effect and prognosis of patients.
作者
张杰
钱和娟
王志彬
胡娜
刘红梅
ZHANG Jie;QIAN Hejuan;WANG Zhibin;HU Na;LIU Hongmei(Department of Emergency,the Fourth Affiliated Hospital of Nanjing Medical University,Nanjing,Jiangsu,210029)
出处
《实用临床医药杂志》
2025年第11期95-99,104,共6页
Journal of Clinical Medicine in Practice
基金
2023年度江苏省老年科研项目(LK2023011)。
关键词
急性心肌梗死
经皮冠状动脉介入治疗
急性心理应激
潜在剖面
影响因素
生活质量
胸痛评分
斯坦福急性应激反应问卷
acute myocardial infarction
percutaneous coronary intervention
acute psycho-logical stress
latent profile
influencing factors
quality of life
chest pain score
Stanford Acute Stress Reaction Questionnaire
作者简介
通信作者:钱和娟。
