老年急性心肌梗死患者主要照顾者心理弹性及其影响因素分析  

Analysis of psychological resilience and its influencing factors of primary caregivers of elderly patients with acute myocardial infarction

作　　者：夏五妹[1] 黄丽 谢忠英 付芳娜 陈丽燕[1] 李昱[1] XIA Wumei;HUANG Li;XIE Zhongying;FU Fangna;CHEN Liyan;LI Yu(Department of Cardiovascular Medicine,Jiangxi Provincial People's Hospital,the First Affiliated Hospital of Nanchang Medical College,Jiangxi Province,Nanchang 330000,China)

机构地区：[1]江西省人民医院、南昌医学院第一附属医院心血管内科,江西南昌330000

出　　处：《中国当代医药》2024年第25期105-108,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202310182)。

摘　　要：目的探讨老年急性心肌梗死患者主要照顾者心理弹性及其影响因素。方法选取2021年1月至2023年7月江西省人民医院收治的88例老年急性心肌梗死患者,对其主要照顾者88名家属进行一般资料、心理弹性量表调查,采用单因素分析联合多元线性回归分析的方法对老年急性心肌梗死患者主要照顾者心理弹性及其影响因素进行分析。结果88例老年急性心肌梗死患者主要照顾者的心理弹性总分为(63.40±6.58)分;不同年龄、职业、婚姻状况、文化程度、宗教信仰、家庭年总收入、医保类型、与患者关系、对患者病情了解程度情况下主要照顾者的心理弹性评分比较,差异无统计学意义(P>0.05);不同性别、照顾压力、照顾时长、自我效能感、应对方式情况下主要照顾者的心理弹性评分比较,差异有统计学意义(P<0.05);多元线性回归分析结果显示,女性(β=0.246,t=4.627,95%CI=2.515~6.308)、照顾压力较弱(β=0.334,t=4.072,95%CI=2.804~8.161)、照顾时长<1个月(β=0.225,t=3.024,95%CI=2.804~5.999)、自我效能感较高(β=0.224,t=4.025,95%CI=1.846~5.454)、应对方式积极(β=0.231,t=3.531,95%CI=1.666~5.968)均为老年急性心肌梗死患者主要照顾者心理弹性的独立影响因素(P<0.05)。结论老年急性心肌梗死患者主要照顾者的心理弹性受性别、照顾压力、照顾时长、自我效能感和应对方式等多因素影响。应重视对照顾者的心理支持和教育,提高其自我效能感,并引导其采取积极的应对策略,以增强其心理弹性。Objective To explore the psychological resilience of the primary caregivers of elderly patients with acute myocardial infarction and its influencing factors.Methods A total of 88 elderly patients with acute myocardial infarction admitted to Jiangxi Provincial People's Hospital from January 2021 to July 2023 were selected,and 88 family members of their main caregivers were investigated with general information and psychological resilience scale.The single factor analysis combined with multiple linear regression analysis was used to analyze the mental resilience and its influencing factors of the main caregivers of elderly patients with acute myocardial infarction.Results The total score of psychological resilience of 88 elderly patients with acute myocardial infarction was(63.40±6.58).There were no statistical significances in the psychological resilience scores of the main caregivers under different age,occupation,marital status,educational level,religious belief,total annual family income,type of medical insurance,relationship with patients,and understanding of patients'disease(P>0.05).There were statistically significant differences in the psychological resilience scores of the main caregivers under different genders,caregiving stress,caregiving duration,self-efficacy and coping styles(P<0.05).The results of multiple linear regression analysis showed that women(β=0.246,t=4.627,95%CI=2.515-6.308),had less caregiving stress(β=0.334,t=4.072,95%CI=2.804-8.161),and caregiving duration<1 month(β=0.225,t=3.024,95%CI=2.804-5.999),high self-efficacy(β=0.224,t=4.025,95%CI=1.846-5.454),positive coping style(β=0.231,t=3.531,95%CI=1.666-5.968)were independent influencing factors of mental resilience of primary caregivers of elderly patients with acute myocardial infarction(P<0.05).Conclusion The psychological resilience of primary caregivers of elderly patients with acute myocardial infarction was affected by gender,caregiving stress,caregiving duration,self-efficacy and coping style.Emphasis should be placed on psych

关 键 词：老年急性心肌梗死 主要照顾者 心理弹性 影响因素 

分 类 号：R473.5[医药卫生—护理学]