摘要
目的探讨老年冠心病经皮冠状动脉介入(PCI)治疗患者认知加工及应对方式对其创伤后成长(PTG)的影响,为提高患者PTG水平提供依据。方法采用便利抽样方法,选取2020年8月至2021年8月在该院心血管内科住院治疗的212例老年冠心病PCI治疗患者为研究对象,采用一般资料问卷、简体中文版创伤后成长评定量表(C-PTGI)、简体中文版事件相关反刍性沉思问卷(C-ERRI)、医学应对问卷(MC-MQ)对其进行调查,运用分层回归分析进行影响因素分析。结果212例老年冠心病PCI治疗患者均存在不同程度PTG水平,低水平3例(1.4%),中等水平159例(75.0%),高水平50例(23.6%),C-PTGI总分平均(64.16±8.12)分。分层回归分析结果显示,BMI、工作状况、心功能分级、目的性反刍性沉思、面对应对方式及屈服应对方式可显著影响患者PTG水平(P<0.01),共同解释PTG变异的60.0%,其中认知加工解释PTG变异的15.6%,应对方式解释PTG变异的11.3%。结论老年冠心病PCI治疗患者均存在不同程度的PTG水平,BMI、工作状况、心功能分级、目的性反刍性沉思、面对应对及屈服应对方式是其主要影响因素,通过加强健康教育,引导患者采取积极认知加工方式及恰当的应对方式来促进其PTG发展。
Objective To investigate the influence of cognitive processing and coping styles on post-traumatic growth(PTG)of elderly patients with coronary heart disease(CHD)undergoing percutaneous coronary intervention(PCI)treatment,so as to provide a basis for improving the PTG level of the patients.Methods A total of 212 elderly inpatients with CHD treated by PCI in the Cardiovascular Department of this hospital from August 2020 to August 2021 were selected as the study subjects by using the convenience sampling method.All subjects were investigated by the General Information Questionnaire,Chinese-Posttraumatic Growth Inventory(C-PTGI),Simplified Chinese version of the Chinese-Event Related Rumination Inventory(C-ERRI)and Medical Coping Modes Questionnaire(MC-MQ).The hierarchical regression analysis was used to analyze the influencing factors.Results All 212 elderly cases of CHD treated by PCI had different degrees of PTG level,including 3 cases of low PTG levels(1.4%),159 cases of mild PTG levels(75.0%)and 50 cases of high level(23.6%).The total score was(64.16±8.12)points.The hierarchical regression analysis results showed that the BMI,work status,cardiac function grade,purposeful rumination,face coping and yield coping styles could significantly affect the PTG level(P<0.01),which commonly explained 60.0%of PTG variant,and among them the cognitive processing could explain 15.6%of PTG variant,the coping style could explain 11.3%of PTG variant.Conclusion The elderly patients with CHD treated with PCI have different degrees of PTG level.BMI,work status,cardiac function grade,purposeful rumination meditation,face coping and yield coping styles are the main influencing factors.By strengthening the health education,the patients are guided to adopt actively cognitive processing methods and appropriate coping methods to promote their PTG development.
作者
黄彩妹
陆柳雪
邓惠英
韦素雨
杨婷
黄兰晶
HUANG Caimei;LU Liuxue;DENG Huiying;WEI Suyu;YANG Ting;HUANG Lanjing(Department of Respiratory and Critical Care Medicine,Affiliated Hospital of Youjiang Medical University for Nationalities,Baise,Guangxi 533000,China;Department of Nursing,Affiliated Hospital of Youjiang Medical University for Nationalities,Baise,Guangxi 533000,China;Department of Cardiovascular Internal Medicine,Affiliated Hospital of Youjiang Medical University for Nationalities,Baise,Guangxi 533000,China)
出处
《重庆医学》
CAS
2022年第21期3681-3688,共8页
Chongqing medicine
基金
广西壮族自治区自然科学基金项目(2020GXNSFAA259038)
广西壮族自治区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项目(百科20204729)
百色市科学研究与技术开发计划课题(百科20193216)。
关键词
老年患者
冠心病
创伤后成长
认知加工
应对方式
影响因素
elderly patients
coronary heart disease
post-traumatic growth
cognitive processing
coping style
influencing factors
