Correlation Between Fear Disease Progression,Psychological Resilience and Social Support in Patients Undergoing Transcatheter Aortic Valve Replacement
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.
transcatheter aortic valve replacementfear of disease progressionmental resiliencesocial supportcorrelation
万方数据
维普
