急性心肌梗死患者早期焦虑情绪及相关因素分析

A study on AMI’s emotional disorder of anxiety and affecting factors in the earlier period

目的调查急性心肌梗死(AMI)早期患者主要情绪障碍形式,主要情绪障碍水平;分析影响情绪障碍的相关因素。方法采用汉密顿焦虑量表、汉密顿抑郁量表、自编的AMI患者一般情况评估表,评定65例AMI早期患者的焦虑水平,抑郁水平,并将两种情绪障碍水平进行比较,采用逐步回归分析法对影响AMI早期患者情绪障碍的因素进行分析。结果AMI早期患者100%有焦虑症状, 3d焦虑水平高于7d( 2轻=15. 87,P<0. 01, 2中= 20. 1P<0. 01, 2重= 26. 36,P<0. 01),合并焦虑的人数比例高于合并抑郁的人数比例,差异存在显著性( 2轻=28. 57,P<0. 01, 2总=65. 68,P<0. 01)。结论AMI早期患者以焦虑为主要情绪障碍,焦虑水平主要与对心前区疼痛及再发疼痛的恐惧、对死亡的恐惧、对医生的信任度、对预后的不确定性、主观感觉AMI严重程度、长期绝对卧床、社会支持有密切关系。

ObjectiveTo explore which emotional disorder is the main type and how high it is and analyze the factors which affect the emotional disorder. Methods65 AMI patients were respectively evaluated with Hamilton Anxiety Scale, Hamilton Depression Scale and a self-composed questionnaire of general natural conditions on the third day and seventh day after AMI . ResultAmong 65 cases tested , 100% had different degrees of anxious symptoms on the 3rd day and 7th day , no cases with depressive symptoms on the 3rd day , only a few cases (22%) had a slight degree of depression on the 7th day. During the acute period , the level of anxiety was getting lower and lower. On the 3rd day,the anxious status of AMI patients was remarkably in linear relationship with anginophobia,thanatophobia,sense of believing the doctor-in-chief,uncertainty on recovery from AMI . On the 7th day , the anxious status of AMI patients was remarkably in linear relationship with thanatophobia、anginophobia、subjective sense of seriousness about AMI,being absolutely in bed for long time,social support .ConclusionSymptomatic anxiety was the main type of emotional disorder during acute period after AMI . The earlier was AMI , the more severe was anxious symptom . On the 3rd day , anginophobia,thanatophobia,sense of believing the doctor-in-chief,uncertainty on recovery from AMI were main directly affecting factors . On the 7th day, thanatophobia,anginophobia,subjective sense of seriousness about AMI,being absolutely in bed for long time,social support were main directly affecting factors.