急性心肌梗死介入术后患者习得性无助感现状及影响因素分析  

Analysis of the status quo and influencing factors of learned helplessness in patients with acute myocardial infarction after interventional surgery

作　　者：杨雪珍 戚星 倪芹 寇芳芳 YANG Xue-zhen;QI Xing;NI Qin(Catheter Room,Xuzhou Mining Group General Hospital,Xuzhou 221006,China)

机构地区：[1]徐州矿务集团总医院导管室,221006

出　　处：《中国现代药物应用》2024年第20期1-5,共5页Chinese Journal of Modern Drug Application

摘　　要：目的探讨急性心肌梗死(AMI)介入术后患者习得性无助感、心理弹性及社会支持现状,分析三者间的相关性及习得性无助感的影响因素。方法选取80例AMI介入术后患者为研究对象,使用基本信息问卷、习得性无助感、心理弹性、社会支持量表对患者进行问卷调查。统计患者一般资料及习得性无助感、心理弹性及社会支持得分情况;分析患者习得性无助感、心理弹性、社会支持现状的相关性及习得性无助感的影响因素。结果80例AMI介入术后患者中男性53例、占比为66.25%,女性27例、占比为33.75%;年龄最小41岁,最大83岁,平均(55.36±16.58)岁。80例患者习得性无助感得分为(52.67±6.62)分、心理弹性得分为(49.35±6.35)分、社会支持得分为(31.27±5.62)分。相关关系结果:AMI患者习得性无助感与心理弹性(r=-0.455,P=0.003<0.05)、与社会支持均呈负性相关(r=-0.414,P=0.011<0.05);心理弹性与社会支持正性相关(r=0.405,P=0.012<0.05)。<60岁、≥60岁患者习得性无助感得分分别为(50.42±6.68)、(54.05±6.83)分;单身(未婚、离异、丧偶)、已婚患者习得性无助感得分分别为(57.83±6.26)、(52.47±6.34)分;家庭人均收入<3000元、3000~6000元、>6000元患者习得性无助感得分分别为(54.07±7.26)、(52.59±6.47)、(51.33±6.38)分;文化程度初中及以下,高中、高职、中专,大专及以上患者习得性无助感得分分别为(55.73±6.51)、(52.66±6.16)、(50.59±5.70)分;单因素分析显示AMI患者在年龄、婚姻状况、家庭人均收入及学历水平方面存在显著差异(P<0.05)。结论习得性无助感在AMI患者中水平较高,提示临床工作人员及时的进行心理评估和心理疏导,针对习得性无助感水平的高危人群进行干预,有利于缓解患者存在的不良情绪、改善其身心健康,对其预后有积极作用。Objective To explore the status quo of learned helplessness,psychological resilience and social support in acute myocardial infarction(AMI)patients,analyze the correlation among the three and the influencing factors of learned helplessness.Methods A total of 80 patients with AMI after interventional surgery were selected as the research subjects.Basic information questionnaire,and learned helplessness,psychological resilience and social support scales were used to conduct a questionnaire survey.The general information,and scores of learned helplessness,psychological resilience and social support of patients were counted,and the correlation of patients'learned helplessness,psychological resilience,and social support status and the influencing factors of learned helplessness were analyzed.Results Among the 80 patients with AMI after interventional surgery,53 cases(66.25%)were male and 27 cases(33.75%)were female;the minimum age was 41 years and the maximum age was 83 years,with an average of(55.36±16.58)years.The score of learned helplessness of the 80 patients was(52.67±6.62)points,the score of psychological resilience was(49.35±6.35)points,and the score of social support was(31.27±5.62)points.Correlation results:learned helplessness in AMI patients was negatively correlated with psychological resilience(r=-0.455,P=0.003<0.05)and with social support(r=-0.414,P=0.011<0.05);psychological resilience was positively correlated with social support(r=0.405,P=0.012<0.05).The scores of learned helplessness were(50.42±6.68)and(54.05±6.83)points for patients<60 years old and≥60 years old;the scores of learned helplessness were(57.83±6.26)and(52.47±6.34)points for single(unmarried,divorced,widowed)and married patients;the scores of learned helplessness were(54.07±7.26),(52.59±6.47)and(51.33±6.38)points for patients with per capita family income<3000 yuan,3000-6000 yuan,>6000 yuan;the scores of learned helplessness were(55.73±6.51),(52.66±6.16),and(50.59±5.70)points for patients with education level of junior h

关 键 词：急性心肌梗死 介入术后 习得性无助感 现状调查 相关性 影响因素 

分 类 号：R542.22[医药卫生—心血管疾病]