首页|冠心病再介入治疗患者的反刍性沉思现状及影响因素研究

冠心病再介入治疗患者的反刍性沉思现状及影响因素研究

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目的:探究冠状动脉粥样硬化性心脏病(冠心病)患者再介入治疗术后的反刍性沉思水平及其影响因素。方法:连续选取2019年9月至2021年6月于南京医科大学第一附属医院住院行再介入治疗的冠心病患者,采用社会人口学调查表、心理韧性量表、反刍性沉思问卷对目标患者进行横断面调查,多元线性回归分析患者反刍性沉思的影响因素。结果:共纳入106例行再介入治疗的冠心病患者,年龄(53.55±9.61)岁,男占56.60%(60/106),目的性反刍性沉思得分(13.18±6.65)分,侵入性反刍性沉思得分(16.67±5.75)分。多元线性回归分析显示患者兴趣爱好和心理韧性共解释侵入性反刍性沉思的19.6%,个人月收入和心理韧性共解释目的性反刍性沉思的38.2%。结论:冠心病再介入治疗患者的反刍性沉思水平处于中等水平且更偏向于侵入性反刍性沉思,应关注再介入治疗对冠心病患者产生的负性心理影响,制订相应措施提高冠心病再介入治疗患者心理韧性水平,调整应对方式。
Study on the status and influencing factors of ruminant meditation in patients with secondary percutaneous coronary intervention
Objective:To explore the level of ruminant meditation and its influencing factors in patients with coronary heart disease (CHD) after secondary percutaneous coronary intervention.Methods:From September 2019 to June 2021, patients with CHD who were hospitalized in The First Affiliated Hospital of Nanjing Medical University for reintervention were selected. A cross-sectional survey of target patients was conducted using the Social Demographic Questionnaire, the Connor-Davidson Resilience Scale and the Rumination Questionnaire. Multiple linear regression analysis was used to analyze the influencing factors of rumination.Results:A total of 106 patients with CHD who underwent reintervention were included. The age was (53.55±9.61) years old, and 56.60% (60/106) were males. The score of purposive rumination was (13.18±6.65), and the score of invasive rumination was (16.67±5.75). Multiple linear regression analysis showed that the patients' interests and psychological resilience explained 19.6% of intrusive rumination, and personal monthly income and psychological resilience explained 38.2% of purposeful rumination.Conclusion:The level of rumination in patients with CHD after reintervention is at a medium level and more inclined to invasive rumination. We should pay attention to the negative psychological impact of reintervention on patients with CHD, formulate corresponding measures to improve the psychological resilience level of patients with CHD after reintervention and adjust their coping style.

徐冬梅、孙丽、魏岚、翟仕银、张新月

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210009 南京,南京医科大学第一附属医院(江苏省人民医院)心内科

冠心病 再介入 反刍性沉思 心理韧性 影响因素

国家自然科学基金江苏省人民医院2021年度“国家自然科学基金青年基金培育计划”

72204120PY2021047

2023

中华心脏与心律电子杂志

中华心脏与心律电子杂志

ISSN:
年,卷(期):2023.11(4)
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