中青年PCI术后患者重返工作准备度与智谋及疾病进展恐惧的关系

Relationship between readiness to return to work and resourcefulness and fear of disease progression in young and middle-aged patients after percutaneous coronary intervention

目的探究中青年经皮冠状动脉介入治疗(Percutaneous Coronary Intervention,PCI)术后患者重返工作准备度与智谋及疾病进展恐惧的关系,为促进中青年PCI术后患者重返工作提供参考。方法采用便利抽样法选取深圳市某三级甲等医院心血管内科门诊复诊的205例PCI术后1个月的中青年患者为研究对象,采用一般情况调查表、疾病进展恐惧简化量表、智谋量表、重返工作准备度量表进行调查。结果中青年PCI术后患者重返工作准备度处于前意向阶段54例(26.34%),意向阶段42例(20.49%),行动准备-自我评估阶段88例(42.93%),行动准备-行动阶段21例(10.24%)。有序logistic回归分析显示,年龄越大、心功能分级越差、疾病进展恐惧水平越高、智谋水平越低的PCI术后患者重返工作准备度越低(均P<0.05)。结论中青年PCI术后患者处于行动准备-自我评估的比例较高,疾病进展恐惧及智谋可预测其重返工作准备度。医护人员应关注中青年PCI术后患者的智谋水平,减轻疾病进展恐惧的影响,改善其心理健康,提升患者重返工作准备度。

Objective To explore the relationship between readiness to return to work and resourcefulness and fear of disease progression in young and middle-aged patients after percutaneous coronary intervention(PCI),so as to provide a reference for promoting them return to work.Methods A total of 205 young and middle-aged patients one month after PCI were conveniently selected from the cardiovascular outpatient department of a grade three hospital in Shenzhen,then they were investigated by utilizing a general information questionnaire,the Fear of Progression Questionnaire-Short Form,the Chinese version of the Resourcefulness Scale and the Readiness for Return to Work Scale.Results There were 54 patients(26.34%)in the pre-intention stage,42 patients(20.49%)in the intention stage,88 patients(42.93%)in the action preparation-self-assessment stage,and 21 patients(10.24%)in the action preparation-action stage in the readiness to return to work.Ordered logistic regression analysis showed that,the older the age,the worse the cardiac function classification,the higher the fear of disease progression,and the lower the resourcefulness of patients after PCI,their readiness to return to work were lower(all P<0.05).Conclusion There is a high proportion of young and middle-aged patients after PCI in the action preparation-self-assessment stage,and fear of disease progression and resourcefulness can predict their readiness to return to work.Medical staff should pay attention to the resourcefulness level of young and middle-aged patients after PCI,reduce the influence of fear of disease progression,and improve their mental health,so as to increase their readiness to return to work.