摘要
目的 调查中青年冠心病介入治疗患者创伤后成长(PTG)现况及其影响因素,为医护人员开展相关干预研究提供依据。方法 应用便利抽样方法,选取2020年7月—2021年6月在百色某三级甲等医院心血管内科住院治疗的191例中青年经皮冠状动脉支架植入术后患者为研究对象,采用一般资料问卷、简体中文版创伤后成长评定量表(ChinesePosttraumatic Growth Inventory,C-PTGI)、领悟社会支持量表(Perceived Social Support Scale,PSSS)、医学应对问卷(Medical Coping Modes Questionnaire,MC-MQ)对其进行调查,运用多元线性回归分析进行影响因素分析。结果 191例中青年冠心病介入治疗患者均存在不同程度创伤后成长水平,轻度PTG水平3例(1.57%),中等程度PTG水平45例(23.56%),较高程度PTG水平138例(72.25%),最高程度PTG水平5例(2.62%),总分(65.29±8.01)分。多元线性回归分析结果显示,体重指数、冠心病病程、家庭内支持、家庭外支持及面对应对方式进入回归方程,共同解释因变量创伤后成长水平53.60%的变异量。结论 中青年冠心病介入治疗患者均存在不同程度的创伤后成长水平,体重指数、冠心病病程、家庭内支持、家庭外支持及面对应对方式为主要影响因素。
Objective To investigate the status of post-traumatic growth(PTG)of young and middle-aged patients with coronary heart disease after undergoing percutaneous coronary intervention(PCI)and factors influencing the PTG,so as to provide evidence for medical staff to carry out relevant intervention research.Methods This study selected by convenience sampling method a total of 191 young and middle-aged patients who underwent PCT and were hospitalized in the Department of Cardiovascular Internal Medicine of a Grade A hospital in Baise from July 2020 to June 2021.All patients were investigated with the General Information Questionnaire,Chinese-Post traumatic Growth Inventory(C-PTGI),Perceived Social Support Scale(PSSS)and Medical Coping Modes Questionnaire(MC-MQ).Multiple linear regression analysis was conducted to analyze the influencing factors.Results These 191 young and middle-aged patients with coronary heart disease treated with PCI had different levels of PTG after undergoing PCI.Among them there were 3 cases with mild PTG level(1.57%),45 cases with moderate PTG level(23.56%),138 cases with high PTG level(72.25%),and 5 cases with the highest PTG level(2.62%).The total score was(65.29±8.01).The results of multiple linear regression analysis showed that body mass index,coronary heart disease course,support within the family,support outside the family,and coping style entered the regression equation,which together explained 53.60%of the variance of the dependent variable(PTG level).Conclusion The young and middle-aged patients with coronary heart disease all have different levels of PTG after undergoing PCI.Body mass index,coronary heart disease course,support within the family,support outside the family,and coping style are the main factors influencing PTG.
作者
黄彩妹
陆柳雪
韦碧珍
韦柳青
刘璐
杨婷
黄兰晶
Huang Caimei;Lu Liuxue;Wei Bizhen;Wei Liuqing;Liu Lu;Yang Ting;Huang Lanjing(School of Clinical Medicine,Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China;Department of Nursing,The Affiliated Hospital of Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China;Department of Cardiovascular Internal Medicine,The Affiliated Hospital of Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China)
出处
《右江民族医学院学报》
2021年第6期790-796,共7页
Journal of Youjiang Medical University for Nationalities
基金
广西自然科学基金项目(2020GXNSFAA259038)
百色市科学研究与技术开发计划项目(百科20204729)
广西医疗卫生适宜技术开发与推广应用项目(S2019016)
百色市科学研究与技术开发计划课题(百科20193216)。
关键词
中青年
冠心病
经皮冠状动脉
介入治疗
创伤后成长
young and middle-aged
coronary heart disease
percutaneous coronary
intervention
post-traumatic growth
