急性心肌梗死患者心理弹性水平与生活质量、焦虑抑郁和医学应对方式的相关性分析  

Correlation Analysis of Resilience Level with Quality of Life,Anxiety and Depression and Medical Coping Style in Patients with Acute Myocardial Infarction

作　　者：艾庆巍[1] 田欢 高媛 王国兴[1] 肖红丽[1] 刘冰[1] AI Qing-wei;TIAN Huan;GAO Yuan;WANG Guo-xing;XIAO Hong-li;LIU Bing(Department of Emergency,Beijing Friendship Hospital Affiliated to Capital Medical University,Beijing,100050,China)

机构地区：[1]首都医科大学附属北京友谊医院急诊科,北京100050

出　　处：《现代生物医学进展》2021年第12期2284-2287,2349,共5页Progress in Modern Biomedicine

基　　金：国家自然科学基金项目(81773931)。

摘　　要：目的:分析急性心肌梗死(AMI)患者心理弹性水平与生活质量、焦虑抑郁和医学应对方式的相关性。方法:选取2019年3月2020年8月期间我院收治的AMI患者142例。分别采用心理弹性量表(CD-RISC)、生活质量自评量表(WHOQOL-BREF)、Zung焦虑自评量表(SAS)、Zung抑郁自评量表(SDS)、医学应对方式问卷(MCMQ)评估所有患者的心理弹性水平、生活质量、焦虑抑郁情况和医学应对方式,并与国内常模对比。采用Pearson相关性分析心理弹性评分与生活质量评分、焦虑抑郁评分和医学应对方式评分的相关性。结果:AMI患者力量、坚韧性、乐观性各维度评分及CD-RISC总分均较国内常模低(P<0.05)。AMI患者心理、生理、社会关系、环境以及WHOQOL-BREF平均分均低于国内常模(P<0.05)。AMI患者SAS、SDS评分均高于国内常模(P<0.05)。AMI患者回避、屈服评分较国内常模高,面对评分低于国内常模(P<0.05)。Pearson相关性分析结果显示:CD-RISC总分与WHOQOL-BREF平均分、面对评分呈正相关,而与SAS、SDS、回避、屈服评分呈负相关(P<0.05)。结论:AMI患者心理弹性水平与焦虑抑郁、生活质量和医学应对方式相关,治疗时应采取相应措施提高患者应对疾病的能力,通过提高AMI患者的心理弹性,缓解其焦虑、抑郁情绪,进而提高生活质量。Objective:To analyze the correlation between resilience and quality of life,anxiety and depression,and medical coping style in patients with acute myocardial infarction(AMI).Methods:142 patients with AMI in our hospital from March 2019 to August 2020 were selected.Cd-risc and self rating quality of life scale were used Psychological resilience,quality of life,anxiety and depression and medical coping style were assessed by WHOQOL-BREF,Zung self rating Anxiety Scale(SAS),Zung self rating Depression Scale(SDS)and Medical Coping Style Questionnaire(mcmq).Compared with the domestic norm,Pearson correlation analysis was used to analyze the correlation between resilience score and quality of life score,anxiety and depression score and medical coping style score It’s about sex.Results:The scores of strength,tenacity,optimism and the total score of cd-risc of AMI patients were lower than those of domestic norm(P<0.05).The average scores of psychology,physiology,social relationship,environment and WHOQOL-BREF of AMI patients were lower than those of the domestic norm(P<0.05).The SAS and SDS scores of AMI patients were higher than the domestic norm(P<0.05).The avoidance and yield scores of AMI patients were higher than the domestic norm,while the face scores were lower than the domestic norm(P<0.05).Pearson correlation analysis showed that cd-risc was positively correlated with WHOQOL-BREF average score and face score,but negatively correlated with SAS,SDS,avoidance and yield score(P<0.05).Conclusion:The level of resilience of patients with AMI is significantly related to anxiety and depression,quality of life and medical coping style.Corresponding measures should be taken to improve the ability of patients to cope with diseases.By improving the resilience of patients with AMI,anxiety and depression can be alleviated,and the quality of life can be improved.

关 键 词：急性心肌梗死 心理弹性 生活质量 焦虑抑郁 医学应对方式 

分 类 号：R542.22[医药卫生—心血管疾病]