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急性心肌梗死PCI术后病人急性应激障碍现状及其与疾病感知和应对方式的相关性

曹二凤 王宇涛 李鹏 段凯星 葛文嘉 王洁

护理研究2024,Vol.38Issue(1):37-42,6.
护理研究2024,Vol.38Issue(1):37-42,6.DOI:10.12102/j.issn.1009-6493.2024.01.006

急性心肌梗死PCI术后病人急性应激障碍现状及其与疾病感知和应对方式的相关性

Current status of acute stress disorder in patients with acute myocardial infarction after PCI and its relationship with illness perception and coping strategies

曹二凤 1王宇涛 2李鹏 3段凯星 1葛文嘉 4王洁3

作者信息

  • 1. 山西中医药大学护理学院,山西 030619
  • 2. 山西医科大学护理学院
  • 3. 山西白求恩医院
  • 4. 山西中医药大学护理学院,山西 030619||山西白求恩医院
  • 折叠

摘要

Abstract

Objective:To investigate the current status of acute stress disorder in patients with acute myocardial infarction after PCI and to explore its correlation with disease perception and coping mode.Methods:A convenient sample of 205 patients with acute ST-segment elevation PCI from January to April 2023 in a tertiary grade A hospital in Shanxi was investigated by general data questionnaire,Stanford Acute Stress Reaction Questionnaire,Medical Coping Modes Questionnaire,Brief Illness Perception Questionnaire.Results:The total score of acute stress disorder of 205 patients with acute ST-segment elevation PCI was(42.60±10.22).The results of regression analysis showed that gender,pain level,disease perception and exposure were the influencing factors of acute stress disorder.Mediation effect analysis showed that disease perception could directly predict acute stress disorder(β=0.21,P=0.002).Facing played a mediating role between illness perception and acute stress disorder(β=0.05,P<0.05),and the mediating effect accounted for 19.23%of the total effect.Conclusion:Patients with acute myocardial infarction after PCI have a high level of acute stress disorder,and medical staff should pay attention to women and patients with high pain level,reduce disease perception and adopt positive response through personalized education to reduce the occurrence of acute stress disorder.

关键词

急性心肌梗死/疾病感知/应对方式/急性应激障碍/中介效应

Key words

acute myocardial infarction/disease perception/coping strategies/acute stress disorder/mediation effect

引用本文复制引用

曹二凤,王宇涛,李鹏,段凯星,葛文嘉,王洁..急性心肌梗死PCI术后病人急性应激障碍现状及其与疾病感知和应对方式的相关性[J].护理研究,2024,38(1):37-42,6.

基金项目

2022年度山西白求恩医院院级护理科研基金项目,编号:2022YH05 ()

护理研究

OACSTPCD

1009-6493

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