心肌梗死患者PCI术后心理弹性水平及其影响因素

Psychological resilience and its influencing factors in patients with myocardial infarction after PCI

目的分析急性心肌梗死(AMI)患者经皮冠状动脉介入(PCI)术后心理弹性水平及其影响因素。方法选取100例PCI术后AMI患者,回顾性收集其临床资料,分析心理弹性与自我效能、社会支持和压力应对方式的相关性,并对影响其心理弹性水平的影响因素进行分析。结果AMI患者心理弹性得分总分为(57.39±10.37)分,其他各维度得分由高到低为坚韧性、力量、乐观性。Pearson相关分析结果显示,自我效能、社会支持总分、主观支持、客观支持、社会支持利用度、面对应对、回避应对与其心理弹性水平呈正相关,屈服应对与其心理弹性呈负相关(P<0.05)。多因素分析结果显示,年龄、性别、配偶、学历、人均月收入、护理方式、医疗费用支付方式和居住地均是AMI患者心理弹性水平的影响因素(P<0.05)。结论PCI术后AMI患者心理弹性水平较差,影响心理弹性水平的因素众多,在临床治疗中应当予以关注和重视,并给予针对性的心理疏导及健康教育等。

Objective To analyze the level of psychological resilience and its influencing factors of patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI).Methods A total of 100 AMI patients after PCI were selected.The clinical data of all AMI patients were collected retrospectively.The correlation between psychological elasticity and self-efficacy,social support and stress coping style was analyzed,and the influencing factors on the changes level of psychological elasticity of AMI patients were statistically analyzed.Results The total score of psychological elasticity of AMI patients was(57.39±10.37),and the scores of other dimensions were firmness,strength and optimism from high to low.Pearson correlation analysis results showed that self-efficacy,total score of social support,subjective support,objective support,utilization of social support,coping style,avoidance coping style were positively correlated with the patient’s psychological elasticity,while yielding coping style was negatively correlated with the patient’s psychological elasticity(P<0.05).Multivariate analysis results showed that age,gender,spouse,education background,per capita monthly income,nursing methods,payment methods of medical expenses and residence were all influencing factors of psychological elasticity level of AMI patients(P<0.05).Conclusion AMI patients after PCI have poor psychological elasticity,and there are many factors affecting the psychological elasticity.Attention should be paid in clinical treatment,and targeted psychological counseling and health education should be given to coordinate families.