Analysis of the status quo and influencing factors of learned helplessness in patients with acute myocardial infarction after interventional surgery
Objective To explore the status quo of learned helplessness,psychological resilience and social support in acute myocardial infarction (AMI) patients,analyze the correlation among the three and the influencing factors of learned helplessness. Methods A total of 80 patients with AMI after interventional surgery were selected as the research subjects. Basic information questionnaire,and learned helplessness,psychological resilience and social support scales were used to conduct a questionnaire survey. The general information,and scores of learned helplessness,psychological resilience and social support of patients were counted,and the correlation of patients' learned helplessness,psychological resilience,and social support status and the influencing factors of learned helplessness were analyzed. Results Among the 80 patients with AMI after interventional surgery,53 cases (66.25％) were male and 27 cases (33.75％) were female;the minimum age was 41 years and the maximum age was 83 years,with an average of (55.36±16.58) years. The score of learned helplessness of the 80 patients was (52.67±6.62) points,the score of psychological resilience was (49.35±6.35) points,and the score of social support was (31.27±5.62) points. Correlation results:learned helplessness in AMI patients was negatively correlated with psychological resilience (r=-0.455,P=0.003<0.05) and with social support (r=-0.414,P=0.011<0.05);psychological resilience was positively correlated with social support (r=0.405,P=0.012<0.05). The scores of learned helplessness were (50.42±6.68) and (54.05±6.83) points for patients<60 years old and ≥60 years old;the scores of learned helplessness were (57.83±6.26) and (52.47±6.34) points for single (unmarried,divorced,widowed) and married patients;the scores of learned helplessness were (54.07±7.26),(52.59±6.47) and (51.33±6.38) points for patients with per capita family income<3000 yuan,3000-6000 yuan,>6000 yuan;the scores of learned helplessness were (55.73±6.51),(52.66±6.16),and (50.59±5.70) points for patients with education level of junior high school or below,high school,senior high school,junior college,and college or above. Univariate analysis showed that AMI patients had significant differences in age,marital status,per capita family income and educational level (P<0.05). Conclusion The high level of learned helplessness among AMI patients suggests that timely psychological assessment and psychological counseling by clinical staff,and intervention for those at high risk of learned helplessness can help to alleviate patients' negative emotions,improve their physical and mental health,and have a positive effect on their prognosis.
Acute myocardial infarctionInterventional surgeryLearned helplessnessStatus quo investigationCorrelationInfluencing factors
万方数据
维普
