急性深静脉血栓形成患者反刍性沉思水平及影响因素分析

Rumination in Patients with Acute Deep Venous Thrombosis and Its Influence Factors

目的分析急性深静脉血栓形成患者反刍性沉思水平及其影响因素。方法便利选取山东省6所三级甲等医院的289例急性深静脉血栓形成患者为研究对象,采用一般资料调查问卷和中文版事件相关反刍性沉思问卷进行调查,影响因素分析采用多元逐步回归分析。结果急性深静脉血栓形成患者的侵入性反刍性沉思得分为(14.79±5.60)分,目的性反刍性沉思得分为(16.13±5.07)分;家庭经济状况和文化程度是急性深静脉血栓形成患者侵入性反刍性沉思的独立影响因素(P<0.05);家庭经济状况、文化程度、医疗费用支付方式以及疼痛程度是急性深静脉血栓形成患者目的性反刍性沉思的独立影响因素(P<0.05)。结论急性深静脉血栓形成患者的反刍性沉思处于中等水平,医护人员对家庭经济状况较困难、文化程度较低、自费及疼痛程度较高患者采取针对性的认知干预措施,引导患者向积极认知方式转变,改善其反刍性沉思水平,促进疾病早日康复。

Objective To investigate the level and influence factors of rumination in patients with acute deep venous thrombosis （DVT）. Methods A questionnaire survey was conducted among 289 DVT patients from 6 Class ⅢGradeⅠhospitals of Shandong province with general information questionnaire and simplified Chinese version of the Event Related Rumination Inventory （C-ERRI）. Multivariate linear stepwise regression was used to analyze the influence factors. Results The score of invasive rumination was 14.79±5.60 and that of purposive rumination 16.13＆177;5.07. Family income and educational level were the influence factors of invasive rumination（P〈0.05） and family income, educational level, medical expense payment method and pain degree were the influence factors of purposive rumination （P〈0.05）. Conclusion The rumination is in medium level in acute DVT patients. Medical staff should perform specific cognitive intervention for different patients and guide the patients to promote posttraumatic growth.