河南新乡地区冠状动脉搭桥术后疾病恐惧现状  

Disease fear after coronary artery bypass grafting in Xinxiang of Henan Province

作　　者：张颖[1] 朱海芳 ZHANG Ying;ZHU Hai-fang(Cardiothoracic Surgery Department of Xinxiang Central Hospital,Xinxiang,Henan 453000,China)

机构地区：[1]新乡市中心医院心胸外科,河南新乡453000

出　　处：《现代预防医学》2024年第5期951-954,960,共5页Modern Preventive Medicine

摘　　要：目的 调查研究河南新乡地区冠状动脉(简称冠脉)搭桥手术后疾病恐惧现状与自我效能、心理韧性的关系。方法 采用便利抽样法选取新乡市中心医院三甲医院接受冠脉搭桥手术治疗的137例患者作为研究对象,分别于出院前、术后6周及术后3个月采用恐惧疾病进展简化量表(Fo P-Q-SF)调查患者术后对疾病恐惧现状,并采用自我效能量表(GSES)、心理韧性量表(CD-RISC)分别评估其自我效能与心理韧性。采用Pearson法分析GSES评分、CD-RISC评分与Fo P-Q-SF评分的相关性,logistic回归模型分析自我效能、心理韧性对疾病恐惧进展的影响因素。结果 患者出院前、术后6周、术后3个月的Fo P-Q-SF各条目评分、总分、GSES评分、CD-RISC评分呈逐渐上升趋势,差异具有统计学意义(P<0.05)。Pearson相关性显示,GSES评分、CD-RISC评分与Fo P-Q-SF评分呈正相关(P<0.05)。逐步多因素logistic回归分析,结果显示,GSES评分、CD-RISC评分是影响患者术后疾病恐惧进展的影响因素(P<0.05)。结论 河南新乡地区冠脉搭桥手术后患者的疾病恐惧现状处于较高水平,自我效能与心理韧性与其密切相关,也是患者术后疾病恐惧进展的影响因素。Objective To investigate the relationship between disease fear,self-efficacy,and psychological resilience after coronary artery bypass grafting(CABG)in Xinxiang of Henan province.Methods A total of 137 patients who underwent coronary artery bypass grafting in Xinxiang Central Hospital were selected by convenient sampling method.Fear disease progression simplified scale(FoPQ-SF)was used to investigate the status of postoperative fear of disease before discharge,6 weeks,and 3 months after operation,and self-efficacy scale(GSES)and psychological resilience scale(CDRISC)were used to evaluate their self-efficacy and psychological resilience.Pearson method was used to analyze the correlation between GSES score,CD-RISC score,and FoP-Q-SF score,and Logistic regression model was used to analyze the influencing factors of self-efficacy and psychological resilience on disease fear progression.Results The scores of FoP-Q-SF items,total score,GSES score,and CD-RISC score increased gradually before discharge,6 weeks,and 3 months after operation,and the difference was statistically significant.Pearson correlation showed that GSES score and CD-RISC score were positively correlated with FoP-Q-SF score.Stepwise multivariate Logistic regression analysis showed that GSES score and CD-RISC score were the influencing factors of postoperative disease fear progression.Conclusion The disease fear status of patients after coronary artery bypass grafting in Xinxiang area of Henan Province is at a high level,and self-efficacy and psychological resilience are closely related to it,which are also the influencing factors of postoperative disease fear progression.

关 键 词：冠状动脉搭桥手术 疾病恐惧现状 自我效能 心理韧性 相关性 

分 类 号：R654[医药卫生—外科学] R743.6[医药卫生—临床医学]