急性心肌梗死病人疾病进展恐惧与创伤后应激障碍症状的相关性分析  

Correlation between fear of disease progress and post-traumatic stress disorder among patients with acute myocardial infarction

作　　者：曾凯[1] 陈小芳[2] 屠燕[3] 滕中华[3] 周克雄[1] 张立力[1] ZENG Kai;CHEN Xiaofang;TU Yan;TENG Zhonghua;ZHOU Kexiong;ZHANG Lili(School of Nursing,Southern Medical University,Guangdong 510515 China)

机构地区：[1]南方医科大学护理学院,广东510515 [2]南方医科大学附属第三医院 [3]南方医科大学南方医院

出　　处：《护理研究》2020年第3期380-383,共4页Chinese Nursing Research

基　　金：广东省医学科学技术研究基金项目，编号：A2017135

摘　　要：[目的]了解急性心肌梗死(AMI)病人创伤后应激障碍(PTSD)症状发生的现状,探索AMI病人疾病进展恐惧与PTSD症状之间的关系。[方法]采用便利抽样的方法选择广州市两家综合性三级医院256例心内科AMI病人为研究对象,采用一般资料问卷、创伤后应激障碍症状问卷中文平民版(PCL-C)、疾病进展恐惧问卷简化版(FoP-Q-SF)对其进行调查。[结果]AMI病人PCL-C得分为(37.78±13.75)分,不同年龄、性别、宗教信仰、婚姻状况、家庭居住地的AMI病人PCL-C得分有差异。AMI病人疾病进展恐惧得分为(30.43±9.08)分,疾病进展恐惧与PTSD症状呈正相关(P<0.01)。多元线性回归结果显示疾病进展恐惧对PTSD症状具有独立预测作用。[结论]AMI病人PTSD症状处于中等水平,有必要进行早期干预,疾病进展恐惧可以作为干预的主要内容。Objectives:To investigate the prevalence status of post traumatic stress disorder(PTSD)symptoms among patients with PTSD,and to explore the relationship between fear of disease progress and PTSD symptoms.Methods:A total of 256 patients with acute myocardial infarction in two comprehensive tertiary hospitals in Guangzhou,were selected by convenience sampling method.Investigation was carried out by demographic questionnaires,Posttraumatic Stress Disorder Checklist-Civilian(PCL-C)and Fear of Progress Questionnaire(FoP-Q-SF).Results:The total score of PCL-C among patients with acute myocardial infarction was 37.78±13.75.There were significant differences among AMI patients with different age,gender,religion faith,marital status and living place.The total score of FoP-Q-SF was 30.43±9.08.Fear of disease progression was positively correlated with PTSD symptoms(P<0.01).Multiple linear regression showed that fear of disease progression may predict PTSD symptoms independently.Conclusions:Symptoms of PTSD in patients with AMI are at medium level.It is necessary to take early intervention.And fear of disease progress could be regarded as the main content of intervention.

关 键 词：急性心肌梗死 疾病进展恐惧 创伤后应激障碍 症状 相关性 影响因素 

分 类 号：R473.54[医药卫生—护理学]