中国全科医学Issue(26)：3142-3147,6.DOI:10.3969/j.issn.1007-9572.2015.26.005
倦怠对急性冠脉综合征患者体力恢复的影响
Influence of Burnout on the Physical Strength Recovery of Patients With Acute Coronary Syndrome
摘要
Abstract
Background Burnout is a kind of negative affective response under pressure, and there is a lack of researches about burnout and the prognosis of coronary heart disease at present. Objective To observe the influence of burnout on the physical strength recovery in the process of rehabilitation of patients with acute coronary syndrome( ACS)and examine the relationship between burnout and the rehabilitation of ACS patients,in order to provide theoretical references for the improvement of prognosis of ACS patients. Methods In this prospective cohort study,we enrolled patients having first ACS onset in the Department of Cardiology, the First Affiliated Hospital of Kunming medical University from march 2012 to march 2014 as subjects,and evaluated the subjects′burnout level by using the general burnout subscale of Copenhagen Burnout Inventory after their condition got stable. According to burnout level,the subjects were assigned into high burnout group and low burnout group. During the follow-up visits to the subjects one month after discharge,physical strength of the subjects was tested by using Short Physical Performance Battery( SPPB)and burnout level was evaluated again. According to the changes of burnout level,the subjects were divided into four subgroups:continuing high burnout subgroup, continuing low burnout subgroup, decreasing burnout subgroup and increasing burnout subgroup. Then physical strength status was compared among the four subgroups,and multiple linear regression model was built to further examine the influence of burnout on the recovery of physical strength. Results Low burnout group was significantly higher(t= -3. 307,P<0. 01)than high burnout group in SPPB score. The scores of continuing low burnout subgroup, continuing high burnout subgroup, decreasing burnout subgroup and increasing burnout subgroup were(9. 7 ± 1. 6),(7. 8 ± 1. 8),(8. 6 ± 1. 8)and(7. 3 ± 2. 0) respectively. The four subgroups were significantly different(F=8. 933,P<0. 001)in the SPPB score one month after discharge. The continuing low burnout subgroup was higher (P<0. 05)than the other three subgroups in SPPB score. The multiple linear regression model with SPPB score as dependent variable showed the following results:after the exclusion of the confounding factors like age and gender,one score increase in the general burnout subscale finished at discharge was associated with 0. 052 score decrease in the SPPB evaluation one month later;one score higher than baseline in the general burnout subscale finished one month after discharge was associated with 0. 054 score decrease in the SPPB evaluation. Conclusion Burnout could lead to the decrease of physical strength in the process of rehabilitation of ACS patients and is an independent risk factor for the poor rehabilitation of ACS patients.关键词
疲劳/急性冠状动脉综合征/强体力活动Key words
Fatigue/Acute coronary syndrome/Physical exertion分类
医药卫生引用本文复制引用
张敏,史云科,刘苓,杨燕飞,肖践明,郭涛..倦怠对急性冠脉综合征患者体力恢复的影响[J].中国全科医学,2015,(26):3142-3147,6.基金项目
国家自然科学基金资助项目（81360040）；云南省科技厅---昆明医科大学应用基础联合专项基金（2013FB140）；美国雅礼协会贾氏家庭健康基金 （）
