急性心肌梗死患者介入治疗术后心理弹性及影响因素分析  

Resilience and its influencing factors among patients with acute myocardial infarction after PCI

作　　者：姚丽[1] 王新丽[1] 李霞[1] 袁萍[1] 刘娟[1] 李志宏[1] 白玲[1] 

机构地区：[1]宁夏医科大学总医院心脏中心内科,宁夏银川750004

出　　处：《护理学杂志》2016年第23期14-17,共4页Journal of Nursing Science

摘　　要：目的了解急性心肌梗死患者介入治疗(PCI)术后心理弹性现状及影响因素。方法采用便利抽样法对银川市3所三级甲等医院229例住院行PCI的急性心肌梗死患者,应用心理弹性量表、一般自我效能感量表、应对方式问卷进行调查。结果急性心肌梗死患者PCI术后心理弹性总分为(67.22±12.39)分。多元线性逐步回归分析显示:文化程度、居住地、自我效能、面对应对及屈服应对为心理弹性的影响因素(调整R^2=0.334)。结论急性心肌梗死患者PCI术后心理弹性处于中等水平,可提高患者自我效能及鼓励患者采取面对应对,以提升其PCI术后心理弹性水平。Objective To understand the condition of resilience and its influencing factors among patients with acute myocardial infarction（AMI）after PCI.Methods Totally 229 patients with AMI after PCI from 3three-level hospitals in Yinchuan city by convenience sampling were investigated using Connor-Davidson resilience scale（CD-RISC）,general self-efficacy scale and coping style questionnaire.Results The total resilience score for AMI patients after PCI was 67.22±12.39.Multiple linear stepwise regression analysis indicated that,education level,living place,self-efficacy,confront and yield coping style were influencing factors of resilience（adjusted R square was 0.334）.Conclusion Resilience of patients with AMI after PCI is in a moderate level,patients′resilience level could be improved by increasing their self-efficacy and encouraging them to take confront coping style.

关 键 词：急性心肌梗死 介入治疗 心理弹性 自我效能 应对方式 

分 类 号：R473.5[医药卫生—护理学] B842[医药卫生—临床医学]