经导管主动脉瓣置换术患者恐惧疾病进展与心理弹性、社会支持的相关性

Correlation Between Fear Disease Progression,Psychological Resilience and Social Support in Patients Undergoing Transcatheter Aortic Valve Replacement

目的调查分析经导管主动脉瓣置换术患者恐惧疾病进展与心理弹性、社会支持的相关性。方法采取便利取样法选取2020年5月至2023年6月郑州市第七人民医院收治的80例经导管主动脉瓣置换术患者作为调查对象,并采用一般资料调查表、恐惧疾病进展简化量表(FoP-Q-SF)、心理弹性简化量表(CD-RTSC-10)、社会支持评分量表(SSRS)对其进行调查。采用Pearson相关分析探讨经导管主动脉瓣置换术患者恐惧疾病进展与心理弹性、社会支持的相关性,多元线性回归分析探讨影响经导管主动脉瓣置换术患者恐惧疾病的相关因素。结果本研究80例经导管主动脉瓣置换术患者的恐惧疾病进展平均总得分为(33.06±8.29)分,其中生理健康维度得分为(17.49±3.68)分,社会家庭维度得分为(15.57±4.61)分;心理弹性平均总得分为(38.25±3.21)分,社会支持平均总得分为(34.87±6.18)分。Pearson相关分析结果发现,经导管主动脉瓣置换术患者恐惧疾病进展总分及各维度得分均与心理弹性总分呈负相关(r=-0.502、-0.478、-0.412,P<0.05),与社会支持总分呈负相关(r=-0.534、-0.489、-0.417,P<0.05)。单因素分析结果显示:不同年龄、受教育程度、病程、慢性合并症、家庭月收入、纽约心脏病协会(NYHA)心功能分级的经导管主动脉瓣置换术患者恐惧疾病进展得分差异有统计学意义(P<0.05)。多元线性回归分析发现:年龄、受教育程度、病程、慢性合并症、家庭月收入、NYHA心功能分级、心理弹性、社会支持均是影响经导管主动脉瓣置换术患者恐惧疾病进展的相关因素(β=0.487、0.334、2.614、2.125、0.347、1.325、-0.257、-0.217,P<0.05)。结论经导管主动脉瓣置换术患者心理弹性、社会支持和恐惧疾病进展呈负相关,因此临床医疗工作者应关注并重视患者的心理弹性、社会支持水平,并通过制订针对性的干预措施缓解患者恐惧疾病进展相关负性情绪。

Objective To explore the correlation between fear disease progression,psychological resilience and social support in patients undergoing transcatheter aortic valve replacement.Methods A total of 80 patients with transcatheter aortic valve replacement treated in Zhengzhou Seventh People’s Hospital from May 2020 to June 2023 were selected as investigation objects by convenient sampling method.General data questionnaire,fear of progression questionnaire-short form(FoP-Q-SF),10-item Connor-Davidson resilience scale(CD-RTSC-10)and social support rating scale(SSRS)were used to investigate the patients.The relationship between fear of disease progression,mental resilience and social support in patients with transcatheter aortic valve replacement were explored by Pearson correlation.Multiple linear regression analysis was used to investigate the related factors affecting fear of disease in patients with transcatheter aortic valve replacement.Results In this study,the average total score of fear disease progression in 80 patients with transcatheter aortic valve replacement was(33.06±8.29)points,in which the score of physiological health dimension was(17.49±3.68)points,and the score of social and family dimension was(15.57±4.61)points.The mean total score of psychological resilience was(38.25±3.21)and the mean total score of social support was(34.87±6.18).Pearson correlation analysis showed that the total score of fear disease progression and scores of all dimensions were negatively correlated with the total score of mental resilience in patients with transcatheter aortic valve replacement(r=-0.502,-0.478,-0.412,P<0.05).It was negatively correlated with the total score of social support(r=-0.534,-0.489,-0.417,P<0.05).The results of univariate analysis showed that there were significant differences in the score of fear of disease progression in patients with transcatheter aortic valve replacement with different age,education,course of disease,chronic complications,family monthly income and New York Heart Association(NYHA)cardiac function classification(P<0.05).Multiple linear regression analysis found that age,education level,disease course,chronic comorbidification,family monthly income,NYHA cardiac function grade,mental resilience and social support were all related factors that affected the progression of fear disease in patients with transcatheter aortic valve replacement(β=0.487,0.334,2.614,2.125,0.347,1.325,-0.257,-0.217,P<0.05).Conclusion Mental resilience,social support are negatively correlated with fear of disease progression in patients undergoing transcatheter aortic valve replacement.Therefore,clinical and medical workers should pay attention to patients’mental resilience and social support level,and alleviate patients’negative emotions related to fear of disease progression by formulating targeted interventions.