摘要
目的 调查颅内动脉瘤患者经介入栓塞术治疗后心理痛苦状况,同时分析其影响因素,以期为临床缓解患者心理痛苦提供理论依据.方法 选取2021年1月至2022年1月70例采用介入栓塞术治疗的颅内动脉瘤患者作为研究对象.术后6个月时使用心理痛苦温度计问卷评估患者的心理痛苦状况,依据评分结果分为心理痛苦组与无痛苦组;同时使用症状体验量表、社会支持评定量表、康复复原力调查表评估患者的症状负担、社会支持以及康复复原力水平,比较两组患者的临床资料;采用多因素logistic回归性分析检验影响颅内动脉瘤患者介入栓塞术后心理痛苦状况的相关因素.结果 70例颅内动脉瘤患者有40例患者存在心理痛苦,占比为57.14％(40/70).两组患者在性别、症状负担水平、社会支持水平、康复复原力水平方面比较,差异有统计学意义(P＜0.05).经多因素logistic回归性分析检验显示性别、症状负担水平、社会支持水平、低等支持、康复复原力水平是影响患者术后心理痛苦状况的影响因素(P＜0.05).结论 颅内动脉瘤患者介入栓塞术后普遍存在心理痛苦,且其受性别、症状负担、社会支持以及康复复原力水平的影响.
Abstract
Objective To investigate the psychological pain status of patients with intracranial aneurysm after interventional embolization treatment,and analyze its influencing factors,in order to provide theoretical basis for clinical relief of patients'psychological pain.Methods A total of 70 patients with intracranial aneurysms treated with interventional embolization from January 2021 to January 2022 were selected as the study subjects.At 6 months after surgery,the psychological pain status of patients was evaluated using the distress thermometer questionnaire,and they were divided into psychological pain group and painless pain group based on the scoring results.At the same time,the symptom experience scale,social support rating scale and rehabilitation resilience questionnaire were used to evaluate the symptom burden,social support and rehabilitation resilience of the patients,and the baseline data of the two groups were compared.Multivariate logistic regression analysis was used to test the related factors affecting the psychological distress of patients with intracranial aneurysms after interventional embolization.Results Among the 70 patients with intracranial aneurysms,40 patients had psychological distress,accounting for 57.14％(40/70).There were statistical significant differences in gender,symptom burden level,social support level and rehabilitation resilience level between the two groups(P＜0.05).Multivariate logistic regression analysis showed that gender,symptom burden level,social support level,low support level and rehabilitation resilience level were the influencing factors of postoperative psychological distress(P＜0.05).Conclusion Patients with intracranial aneurysms generally experience psychological pain after interventional embolization,and it is influenced by gender,symptom burden,social support,and resilience level.
基金项目
河南省医学科技攻关计划联合共建项目(LHGJ20190986)
维普
万方数据