首发急性心肌梗死病人就医决策延迟与述情障碍的相关性研究  

Correlation between delayed medical decision-making and alexithymia in patients with first-episode acute myocardial infarction

作　　者：蔡方方 黄志红 屈少花 张娟[2] 韩旭 臧舒婷[2] CAI Fangfang;HUANG Zhihong;QU Shaohua;ZHANG Juan;HAN Xu;ZANG Shuting(School of Nursing and Health,Henan University,Henan 475000 China)

机构地区：[1]河南大学护理与健康学院,475000 [2]河南省人民医院,450003

出　　处：《全科护理》2023年第8期1014-1018,共5页Chinese General Practice Nursing

基　　金：河南省2021年科技发展计划项目,编号:212102310136。

摘　　要：目的:了解首发急性心肌梗死病人就医决策延迟现状,并探讨述情障碍与首发急性心肌梗死病人就医决策延迟的相关性,为制订针对性干预措施提供理论依据。方法:采用一般资料调查表与多伦多述情障碍量表(TAS-20)对河南省某三级甲等医院心内科住院的232例首发急性心肌梗死病人进行调查。结果:共149例首发急性心肌梗死病人发生就医决策延迟,发生率为64.2%,病人就医决策延迟时间为136(47,181.5)min。以决策时间1h为界限进行分组,延迟组述情障碍得分为(59.95±5.03)分,非延迟组述情障碍得分为(53.75±4.27)分,延迟组述情障碍及各维度得分均高于非延迟组,差异具有统计学意义(P<0.05)。Spearman相关性分析结果显示,首发急性心肌梗死病人就医决策延迟时间与述情障碍总分及各维度得分呈正相关(均P<0.001);Logistic回归分析结果显示,女性、专科及以上学历、非体力活动及述情障碍是首发急性心肌梗死病人就医决策延迟的影响因素(P<0.05)。结论:首发急性心肌梗死病人就医决策延迟现状不容乐观,其述情障碍处于中等水平,且述情障碍总分及各维度得分与就医决策延迟时间呈正相关。提示应重点关注存在述情障碍的首发急性心肌梗死病人,采取针对性措施,降低其述情障碍水平,从而缩短其就医决策延迟时间。Objective:To understand the status quo of delayed medical treatment decision-making in patients with the first episode of acute myocardial infarction(AMI),and to explore the correlation between alexithymia and delayed medical-seeking decision-making in patients with the first episode of AMI,so as to provide a theoretical basis for formulating targeted interventions.Methods:A total of 232 patients with the first episode of AMI who were hospitalized in the department of cardiology of a tertiary grade A hospital in Henan province were included in this study.They were investigated using the General Information Questionnaire and the Toronto Alexithymia Scale(TAS-20).Results:A total of 149 patients with the first episode of AMI had delayed medical decision-making, the incidence was 64.2%,and the delayed time of medical decision-making was 136(47,181.5) minutes.Based on the decision time of an hour, the alexithymia score in the delayed group were(59.95±5.03),and the non-delayed group was(53.75±4.27).The alexithymia scores and various dimensions in the delayed group were higher than those in the non-delay group;the difference was statistically significant(P<0.05).The results of Spearman correlation analysis showed that the delay time of medical treatment decision-making in patients with the first episode of AMI was positively correlated with the total score of alexithymia and the all dimensions scores(all P<0.001).Activity and alexithymia influenced delayed decision-making in patients with the first episode of AMI(P<0.05).Conclusions:The status quo of delayed medical decision-making in patients with the first episode of AMI is not optimistic.Their alexithymia is at a moderate level, and the total score of alexithymia and the all dimension scores were positively correlated with the delay time of medical decision-making.We should focus on patients with the first episode of AMI combined with alexithymia and take targeted measures to reduce the level of alexithymia, thereby shortening the delay time of their medical decisi

关 键 词：首发急性心肌梗死 就医决策延迟 述情障碍 影响因素 护理 

分 类 号：R473.5[医药卫生—护理学]