阵发性心房颤动病人肺静脉隔离消融术后“空白期”心理复原力现状及影响因素  

Status quo and influencing factors of resilience during the “blank period” after pulmonary vein isolation and ablation in patients with paroxysmal atrial fibrillation

作　　者：丁云美 潘月帅 张艳[2] 卢晓虹[2] 谷佳芸 魏丽丽[2] 崔岩[2] DING Yunmei;PAN Yueshuai;ZHANG Yan;LU Xiaohong;GU Jiayun;WEI Lili;CUI Yan(School of Nursing,Qingdao University,Shandong 266000 China)

机构地区：[1]青岛大学护理学院,山东266000 [2]青岛大学附属医院

出　　处：《护理研究》2023年第4期570-576,共7页Chinese Nursing Research

基　　金：青岛市市南区科技计划项目,编号:2020-2-020-YY。

摘　　要：目的:调查阵发性心房颤动病人肺静脉隔离消融术后“空白期”心理复原力现状及影响因素。方法:选取2021年7月—2022年4月于青岛市某三级甲等综合性医院肺静脉隔离消融术后“空白期”门诊复查的340例阵发性心房颤动病人作为研究对象,采用一般资料调查表、简明心理复原力量表、心房颤动病人自我管理效能感量表、领悟社会支持量表和医院焦虑抑郁量表进行现场调查。结果:340例阵发性心房颤动病人肺静脉隔离消融术术后“空白期”心理复原力总分为(23.64±9.34)分,自我管理效能总分为(44.20±9.56)分,社会支持总分为(56.50±17.39)分,焦虑、抑郁的总分分别为(17.80±4.68)分、(18.78±4.81)分;心理复原力与自我管理效能和社会支持呈正相关(均P<0.01),与焦虑、抑郁水平呈负相关(均P<0.01)。多元线性逐步回归分析结果显示,年龄、文化程度、术后病程、自我管理效能、社会支持及抑郁水平是心理复原力的影响因素。结论:阵发性心房颤动病人肺静脉隔离术后“空白期”心理复原力较差,术后“空白期”应加强对病人及其家属的心理疏导和随访,帮助病人提高自我管理效能和社会支持的利用度、减轻术后“空白期”抑郁水平,有利于提升病人肺静脉隔离消融术后“空白期”心理复原力水平。Objective:To investigate the status quo and influencing factors of resilience in the "blank period" of patients with paroxysmal atrial fibrillation(PAF) after pulmonary vein isolation(PVI). Methods:From July 2021 to April 2022,a total of 340 patients with PAF who were reexamined in the "blank period" after PVI in a general tertiary hospital in Qingdao were selected as the research subjects.General Information Questionnaire,10-item Connor-Davidson Resilience Scale(CD-RISC-10),Confidence in Atrial Fibrillation Management Scale(CALM),Perceived Social Support Scale(PSSS),and Hospital Anxiety and Depression Scale(HADS) were used for on-site investigation. Results:The total score of CD-RISC-10 was(23. 64±9. 34) points,the total score of CALM was(44. 20±9. 56) points,the total score of PSSS was(56. 50±17. 39) points,and the total scores of anxiety and depression were(17. 80±4. 68) points and(18. 78±4. 81) points,respectively. Resilience was positively correlated with self-management efficacy and social support(both P<0. 01) and negatively correlated with the levels of anxiety and depression(both P<0. 01). Multiple linear stepwise regression analysis showed that age,education,postoperative course,self-management efficacy,social support,and depression levels were the influencing factors of resilience. Conclusions:Patients with PAF had poor resilience during the "blank period" after PVI. During the "blank period" after surgery,psychological counseling and follow-up for patients and their families should be strengthened to help patients improve their self-management efficiency and social support and reduce their depression level,which could improve the resilience level of patients.

关 键 词：阵发性心房颤动 肺静脉隔离消融术 “空白期” 心理复原力 影响因素 护理 

分 类 号：R473.5[医药卫生—护理学]