中青年急性心肌梗死患者自我同情与创伤后应激障碍的相关性  

Correlation Between Self-Compassion and Post-traumatic Stress Disorder in Young and Middle-Aged Patients with Acute Myocardial Infarction

作　　者：彭倩 杨展[1] 沈瑶 张利娟[1] 张宝凤[1] 唐姗钐 孙娟[1] PENG Qian;YANG Zhan;SHEN Yao;ZHANG Lijuan;ZHANG Baofeng;TANG Shanshan;SUN Juan(Cardiac Rehabilitation Center,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450014,China;Academy of Medical Sciences,Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第二附属医院心脏康复中心,河南郑州450014 [2]郑州大学医学科学院,河南郑州450052

出　　处：《河南医学研究》2021年第8期1356-1360,共5页Henan Medical Research

摘　　要：目的了解中青年急性心肌梗死(AMI)患者创伤后应激障碍(PTSD)的现状,分析自我同情(SC)与PTSD的相关性。方法选取2018年8月至2019年8月于郑州大学第二附属医院心内科住院的243例中青年AMI患者作为研究对象。采用一般资料调查表、自我同情量表(SCS)、创伤后应激障碍症状问卷(中文平民版)(PCL-C)、社会支持评定量表对患者进行调查。采用Pearson相关检验分析SC与PTSD的相关性,并通过分层回归分析探讨PTSD的影响因素。结果243例中青年AMI患者的PCL-C平均得分为(40.08±9.39)分,其中34%(83/243)患有为PTSD(PCL-C≥44分)。中青年AMI患者SCS平均得分为(67.59±10.38)分,且自我同情程度与PTSD呈负相关(r=-0.481,P<0.05)。分层回归分析显示,女性、合并并发症、住院时间较长、社会支持及SC为PTSD的影响因素。其中,SC能独立解释PTSD总变异的19.4%(F=26.525,P<0.01)。结论中青年AMI患者PTSD发生率较高,SC为影响PTSD的独立因素,提高患者自我同情水平有助于降低PTSD发生风险,缓解PTSD症状。Objective To understand the status of post-traumatic stress disorder(PTSD)in young and middle-aged patients with acute myocardial infarction(AMI),and to analyze the correlation between SC and PTSD.Methods A total of 243 middle-aged and young patients with AMI who were admitted to Cardiac Rehabilitation Center,the Second Affiliated Hospital of Zhengzhou University from August 2018 to August 2019 were selected as the research subjects.Patients were recruited by general data questionnaire,self-compassion scale(SCS),Chinese civilian version of post-traumatic stress disorder symptom questionnaire(PCL-C)and social support rating scale.Pearson correlation test was used to analyze the correlation between SC and PTSD,and stratified regression analysis was used to explore the influencing factors of PTSD.Results The PCL-C scores of young and middle-aged AMI patients were(40.08±9.39)points.Eighty-three(34%)patients were diagnosed as PTSD(PCL-C≥44).The SCS scores were(67.59±10.38)points.There was a negative correlation between self-compassion and PTSD in young and middle-aged AMI patients(r=-0.481,P<0.05).Stratified regression analysis showed that women,complications,longer hospital stay,social support and SC were the influencing factors for PTSD,and SC independently accounted for 19.4%of the total variation in PTSD(F=26.525,P<0.01).Conclusion The incidence of PTSD is higher in young and middle-aged AMI patients,improving the level of self-compassion is helpful to reduce the risk of PTSD or relieve its symptoms.

关 键 词：中青年 急性心肌梗死 自我同情 创伤后应激障碍 

分 类 号：R542.22[医药卫生—心血管疾病]