中青年冠心病患者家庭抗逆力现状及影响因素分析  

Current status and influencing factors of family resilience in middle-aged and young patients with coronary heart disease

作　　者：王芬[1] 张彬 康杰[1] 冯旭 赵文文 张青云[1] Wang Fen;Zhang Bin;Kang Jie;Feng Xu;Zhao Wenwen;Zhang Qingyun(First Ward of Coronary Heart Disease,Department of Cardiology,Affiliated Hospital of Jining Medical University,Jining 272000,China;Department of Emergency Intensive Care Unit,Affiliated Hospital of Jining Medical University,Jining 272000,China)

机构地区：[1]济宁医学院附属医院心内科冠心病一病区,济宁272000 [2]济宁医学院附属医院急诊监护室,济宁272000

出　　处：《中华现代护理杂志》2023年第28期3890-3896,共7页Chinese Journal of Modern Nursing

基　　金：济宁市重点研发计划项目(2022YXNS071);济宁医学院附属医院"苗圃"科研计划项目(MP-MS-2021-019)。

摘　　要：目的了解中青年冠心病患者家庭抗逆力现状,并分析其影响因素。方法采用便利抽样法,选取2022年5—8月在济宁医学院附属医院心内科就诊的220例中青年冠心病患者为研究对象。采用一般资料调查表、家庭抗逆力评定量表、知觉压力量表、家庭关怀度指数问卷、社会支持评定量表进行调查。采用多重线性回归分析探讨中青年冠心病患者家庭抗逆力的影响因素。结果中青年冠心病患者家庭抗逆力总分为(209.34±27.52)分。多重线性回归分析结果显示,子女个数、美国纽约心脏病学会心功能分级、知觉压力、家庭关怀度和社会支持是中青年冠心病患者家庭抗逆力的影响因素(P<0.05),共解释总变异的40.4%。结论中青年冠心病患者家庭抗逆力处于中等偏上水平,临床医护人员应加强对中青年冠心病患者家庭抗逆力的评估,结合其影响因素,制订针对性的干预措施,以提高患者家庭抗逆力水平,改善其家庭功能。Objective To understand the current situation of family resilience in middle-aged and young patients with coronary heart disease and analyze its influencing factors.Methods Using the convenient sampling method,a total of 220 middle-aged and young patients with coronary heart disease who visited Cardiology Department of Affiliated Hospital of Jining Medical University from May to August 2022 were selected as the research objects.The survey was conducted using general information questionnaire,Family Resilience Assessment Scale,Perceived Stress Scale,Family Care Index Questionnaire and Social Support Rating Scale.Multiple linear regression analysis was used to investigate the influencing factors of family resilience in young and middle-aged patients with coronary heart disease.Results The total score of family resilience in middle-aged and young patients with coronary heart disease is(209.34±27.52).The results of multiple linear regression analysis showed that the number of children,the New York Heart Association cardiac function rating,perceived stress,family care and social support were the influencing factors of family resilience in middle-aged and young patients with coronary heart disease(P<0.05),accounting for 40.4%of the total variance.Conclusions The family resilience of middle-aged and young patients with coronary heart disease is above the average level.Clinical medical staff should strengthen the evaluation of the family resilience of middle-aged and young patients with coronary heart disease,combine its influencing factors and develop targeted intervention measures to improve the family resilience level of patients and improve their family function.

关 键 词：冠心病 家庭抗逆力 知觉压力 家庭关怀度 社会支持 

分 类 号：R473.5[医药卫生—护理学]