积极心理品质对急性心肌梗死介入术后患者疲劳的影响

Effect of positive psychological quality on fatigue after percutaneous coronary intervention in patients with acute myocardial infarction

目的调查急性心肌梗死患者介入术后疲劳程度和积极心理品质水平,并分析积极心理品质对疲劳的影响。方法采用自制一般情况调查表、中文版多维度疲乏量表(MFI-20)、正负情绪量表、Herth希望量表对168例急性心肌梗死介入术后患者进行调查。结果患者疲劳总分为(59.06±9.21)分,各维度得分从高到低依次为心理疲劳、躯体疲劳、精神疲劳。希望特质、正性情绪与疲劳呈负相关(均P<0.01);平均动脉压、每天锻炼时间、正性情绪、希望水平对患者的疲劳有预测意义(P<0.05,P<0.01)。结论心肌梗死患者介入术后处于中度疲劳水平,积极心理品质是疲劳的影响因素,医护人员应采取提高患者积极心理品质的方法,以降低其疲劳水平,促进康复。

Objective To investigate fatigue levels after percutaneous coronary intervention（PCI） in patients with acute myocardial infarction, and positive psychological quality, and to analyze the impact of positive psychological quality on fatigue. Methods By using a self-made demographic questionnaire, the Chinese version of Multidimensional Fatigue Index （MFI-20）,the Positive and Negative Affect Schedule（PANAS）, the Herth Hope Index,168 myocardial infarction patients after PCI were investigated. Results The patients scored （59.06 ± 9. 21）in fatigue, with the dimension of psychological fatigue scoring the highest, followed by physical fatigue, and mental fatigue. Hope, positive emotions were both negatively correlated with fatigue （P〈0.01 for all） ;mean arterial pressure, daily exercise time, positive emotions, hope level could predict post-PCI fatigue in myocardial infarction patients （P〈0.05, P〈0.01）. Conclusion myocardial infarction patients experiened moderate level of fatigue after PCI, and positive psychological quality has some impact on fatigue. Medical staff should take measures to improve patients＇ positive psychological quality, so as to alleviate fatigue level, and promote postoperative recovery.