急性心肌梗死患者疲劳症状性别差异的观察

Gender differenees of fatigue in patients with acute myocardial infarction

目的观察急性心肌梗死（AMI）病人疲劳症状的性别差异性。方法对116例AMI患者于入院时及出院30d后进行问卷调查，利用POMS—F积分方法评估疲劳程度，利用POMS—D评价抑郁情绪。结果女性AMI患者入院时POMS—F积分较出院30d后高（P〈0．05），而男性患者POMS—F积分不存在这种差别（P=O．213）。相对于男性，女性AMI患者入院时POMS—F积分较高[（15．80±7．33）VS．（11．19±7．04），P=O．004]，这种差异一直维持到出院30d后（P=0．02）。同时发现，疲劳与抑郁情绪显著相关（／2=0．308～0．480，P〈0．05）。结论AMI患者疲劳程度及变化存在明显的性别差异，疲劳与性别及抑郁情绪明显相关。

To observe the gender differences of fatigue in patients with acute myocardial infarction（AMI）,Methods The questionnaires were carried out in 116 AMI patients at admission and 30 days after discharge. The Profile of Mood States Fatigue （POMS-F） subscale was used to measure fatigue, and the Depression-Dejection subscale was to measure depresseion, Results POMS-F scores for women were higher at admission than 30 days after discharge （P 〈0.05）. However, at admission and 30 days after discharge, no difference was found in POMS-F scores for men （/〉〉0.05）. Comparing with men, women had higher POMS-F scores（15.80± 7.33 vs. 11.19 ±7.04, P=O.004）; the difference continued on until 30 days after discharge. Furthermore, fatigue positively correlated with depression （r2 = 0.308-0.480, P 〈 0.05）. Cotmltmimas There are significant gender differences in fatigue levels and its change in patients with AMI. Fatigue significantly correlates with gender and depression.