首发急性心肌梗死患者心理韧性现状及其影响因素分析

Current status and influencing factors of psychological resilience in first-episode acute myocardial infarction patients

目的探讨首发急性心肌梗死(AMI)患者心理韧性现状及其影响因素。方法本研究为横断面研究。采用便利抽样法,选取2021年3—9月在首都医科大学附属北京友谊医院心内科住院的120例首发AMI患者为研究对象。采用心理韧性量表(CD-RISC)、医疗社会支持量表、简易应对方式问卷、疾病不确定感量表对其进行调查。本研究共发放问卷120份,回收有效问卷120份。结果120例首发AMI患者的CD-RISC总分为(66.35±16.69)分。多重线性回归分析结果显示,积极应对、社会互动性合作和不明确性是首发AMI患者心理韧性的影响因素(P<0.05)。结论首发AMI患者的心理韧性处于中等水平。患者对疾病的不明确性对首发AMI患者心理韧性具有负向预测作用,积极应对和社会互动性合作对心理韧性具有正向预测作用,应加强与患者及其家属有效沟通、早期宣教,挖掘患者的积极情绪,从而提高患者的心理韧性水平。

ObjectiveTo explore the current status and influencing factors of psychological resilience in patients with first-episode acute myocardial infarction(AMI).MethodsThis study was a cross-sectional study.From March to September 2021,120 first-episode AMI patients in the Department of Cardiology,Beijing Friendship Hospital,affiliated to Capital Medical University were selected as the study subject by convenience sampling.Patients were surveyed using the Connor-Davidson Resilience Scale(CD-RISC),Medical Outcomes Study Social Support Survey(MOS-SSS),Simplified Coping Style Questionnaire(SCSQ),and Mishel's Uncertainties in Illness Scale(MUIS).A total of 120 questionnaires were distributed,and 120 valid questionnaires were collected.ResultsThe total score of CD-RISC in 120 first-episode AMI patients was(66.35±16.69).The results of multiple linear regression analysis showed that positive coping,social interactive cooperation,and uncertainty were the influencing factors of psychological resilience in first-episode AMI patients(P<0.05).ConclusionsThe psychological resilience of first-episode AMI patients is at a moderate level.The illness uncertainty of patients has a negative predictive effect on the psychological resilience of first-episode AMI patients,while positive coping and social interactive cooperation have a positive predictive effect on psychological resilience.Effective communication and early education with patients and their families should be strengthened to explore their positive emotions and improve their psychological resilience.