首页|老年急性心肌梗死患者知觉压力、情绪调节与创伤应激障碍症状的相关性

老年急性心肌梗死患者知觉压力、情绪调节与创伤应激障碍症状的相关性

扫码查看
目的 研究老年急性心肌梗死患者知觉压力、情绪调节与创伤应激障碍症状的相关性。方法 前瞻性选取2020 年 5 月~2022 年 3 月在首都医科大学附属北京朝阳医院进行诊断并治疗的老年急性心肌梗死患者 110 例作为观察组,另选取同期进行健康体检的老年志愿者110 例作为对照组,比较观察组与对照组的知觉压力量表、情绪调节问卷、创伤后应激障碍症状问卷中文平民版问卷评分之间的差异,研究急性心肌梗死患者知觉压力、情绪调节与创伤应激障碍症状的相关性。结果 观察组患者的再体验、回避、高警觉、总分显著高于对照组,差异有统计学意义(t=3。387、5。464、4。795、11。960,P<0。05);观察组患者的知觉压力量表(PSS-4)显著高于对照组,差异有统计学意义(t=10。963,P=0。000);观察组患者的认知重评、表达抑制以及总分显著低于对照组,差异有统计学意义(t=2。670、3。738、7。798,P<0。05);通过相关性分析,患者的再体验、回避、高警觉、总分与PSS-4 呈现正相关;与表达抑制、认知重评以及总分呈现负相关。结论 急性心肌梗死患者知觉压力、情绪调节与创伤应激障碍症状呈现显著的相关性,建议临床在对急性心肌梗死患者的干预过程中,及时通过对患者的情绪调适,提升患者的康复能力。
Association of perceived stress,emotional regulation and symptoms of traumatic stress disorder in patients with acute myocardial infarction
Objective To study the correlation between perceived stress,emotional regulation and traumatic stress disorder in patients with acute myocardial infarction(AMI).Methods 110 patients diagnosed and treated for AMI at our hospital from May 2020 to March 2022 were selected as the observation group,and 110 volunteers who underwent physical examination during the same period were selected as the control group.The differences between the observation group and the control group were compared in the scores of the perceived stress scale,emotional regulation questionnaire and the Chinese civilian version of the post-traumatic stress Disorder symptom questionnaire.To study the correlation between perceived stress,emotional regulation and traumatic stress disorder symptoms in patients with acute myocardial infarction.Results The re-experiencing,avoidance,hypervigilance and total score in observation group were significantly higher than those in control group(t=3.387,5.464,4.795,4.795,P<0.05).PSS-4(t=10.963,P=0.000)in observation group was significantly higher than that in control group.The cognitive reappraisal,expression inhibition and total score in observation group were significantly lower than those in control group(t=2.670,3.738,7.798,P<0.05).Correlation analysis revealed positive correlations between patients're-experience,avoidance,hypervigilance,and total score with PSS-4,and negatively correlations with expression inhibition,cognitive reappraisal,and total ERQ score.Conclusion Perceived stress and emotional regulation in patients with AMI are significantly correlated with the symptoms of traumatic stress disorder.Timely adoption of emotional adjustment strategies during clinical intervention may improve patients'rehabilitation ability.

Acute myocardial infarctionPerception of pressureEmotional regulationSymptoms of traumatic stress disorder

程小敏、王宏秋、梅雪、任晓飞

展开 >

100020 北京,首都医科大学附属北京朝阳医院急诊科

急性心肌梗死 压力知觉 情绪调节 创伤应激障碍症状

北京市医院管理局临床医学发展专项(扬帆计划)(2021)

ZYLX202132

2024

中华保健医学杂志
中国人民解放军总后勤部卫生部保健局

中华保健医学杂志

CSTPCD
影响因子:0.477
ISSN:1674-3245
年,卷(期):2024.26(3)