重症急性胰腺炎患者反刍性沉思的影响因素

Influencing factors of rumination in patients with severe acute pancreatitis

目的:分析重症急性胰腺炎患者反刍性沉思的影响因素。方法:回顾性分析2019年4月至2021年3月该院收治的86例重症急性胰腺炎患者的临床资料,统计重症急性胰腺炎患者反刍性沉思[简体中文版事件相关反刍性沉思问卷(C-ERRI)]评分,采用多元线性回归分析重症急性胰腺炎患者反刍性沉思的影响因素。结果:86例重症急性胰腺炎患者反刍性沉思总分平均为(33.53±4.73)分,其中侵入性反刍性沉思评分为(15.87±4.97)分,目的性反刍性沉思评分为(17.66±4.64)分。消极应对方式、文化程度初中及以下、家庭氛围不融洽的重症急性胰腺炎患者侵入性反刍性沉思评分较高、目的性反刍性沉思评分较低,差异均有统计学意义(P<0.05)。经多元线性回归分析结果显示,消极应对方式、文化程度初中及以下、家庭氛围不融洽均为重症急性胰腺炎患者反刍性沉思的影响因素(P<0.05)。结论:消极应对方式、文化程度初中及以下、家庭氛围不融洽均为重症急性胰腺炎患者反刍性沉思的影响因素。

Objective:To analyze influencing factors of rumination in patients with severe acute pancreatitis.Methods:The clinical data of 86 patients with severe acute pancreatitis admitted to the hospital from April 2019 to March 2021 were retrospectively analyzed.The scores of rumination[simplified Chinese version of the event related rumination inventory(C-ERRI)]in the patients with severe acute pancreatitis were statistically analyzed.Multivariate linear regression was used to analyze the influencing factors of rumination in the patients with severe acute pancreatitis.Results:The total score of rumination in the 86 patients with severe acute pancreatitis was(33.53±4.73),of which,the invasive score was(15.87±4.97)and the purpose score was(17.66±4.64).The patients with severe acute pancreatitis with negative coping style,education level of junior high school and below,and unharmonious family atmosphere had higher scores of invasiveness and lower scores of purpose,and the differences were statistically significant(P<0.05).The multiple linear regression analysis showed that negative coping style,junior high school education and below,and unharmonious family atmosphere were all influencing factors affecting rumination in the patients with severe acute pancreatitis(P<0.05).Conclusions:Negative coping style,education level of junior high school and below,and family atmosphere are the influencing factors affecting rumination in the patients with severe acute pancreatitis.