老年冠心病患者心理健康素养与预立医疗照护计划状况的相关性研究  

Association of mental health literacy with advance care planning condition in elderly patients with coronary heart disease

作　　者：王娟 尹姣 史敏 薛淑敏 于倩怡 刘晓阳 WANG Juan;YIN Jiao;SHI Min;XUE Shu-min;YU Qian-yi;LIU Xiao-yang(Department of Cardiovascular Medicine,the Second Affiliated Hospital of Chinese PLA Air Force Military Medical University,Xi'an,Shaanxi,710038,China)

机构地区：[1]中国人民解放军空军军医大学第二附属医院心血管内科,陕西西安710038

出　　处：《心血管康复医学杂志》2025年第1期114-119,共6页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:探讨老年冠心病患者心理健康素养与预立医疗照护计划(ACP)状况,并调查影响因素,分析两者的相关性。方法:收集中国人民解放军空军军医大学第二附属医院2020年1月-2021年12月收治的500例老年冠心病患者的一般资料,评估其心理健康素养与ACP状况,采用多元线性回归分析两者的影响因素,Pearson法分析两者的相关性。结果:500例老年冠心病患者多元心理健康素养量表(MHL)总分为(10.78±2.57)分,预立医疗照护计划准备度量表(ACPRS)总分为(71.41±4.84)分。多元线性回归分析结果显示,疾病不确定感水平对MHL评分呈负向影响,有无配偶、对医疗的信任程度对MHL评分呈正向影响(P<0.05或<0.01);合并症数量对ACPRS评分呈负向影响,有无配偶、家庭平均月收入对ACPRS评分呈正向影响(P<0.05或<0.01)。Pearson相关分析显示,MHL评分与ACPRS评分呈正相关(r=0.476,P<0.001)。结论:老年冠心病患者心理健康素养和ACP状况均有待改善,且两者呈正相关,有无配偶、合并症数量、对医疗的信任程度等均为重要影响因素,医护人员可据此采取针对性措施,提高患者ACP准备度,改善其心理健康素养。Objective:To investigate mental health literacy and advance care planning(ACP)condition,their influencing factors,and their correlation in elderly patients with coronary heart disease(CHD).Methods:General data of 500 elderly CHD patients admitted in the Second Affiliated Hospital of Chinese PLA Air Force Military Medical University between January 2020 and December 2021 were collected.Mental health literacy and ACP condition were assessed.Multivariate linear regression was used to analyze their influencing factors,and Pearson method was used to analyze their association.Results:Total score of Multicomponent Mental Health Literacy(MHL)was(10.78±2.57)points,and total score of Advance Care Planning Readiness Scale(ACPRS)was(71.41±4.84)points in the 500 elderly CHD patients.Multivariate linear regression analysis indicated that level of disease uncertainty had negative impact on MHL score,presence of spouse and trust in medical care had positive impact on MHL score(P<0.05 or<0.01);number of complications had negative impact on ACPR score,while presence of spouse and family mean monthly income had positive impact on ACPRS score(P<0.05 or<0.01).Pearson correlation analysis indicated that MHL score was positively correlated with ACPRS score(r=0.476,P<0.001).Conclusion:Both mental health literacy and ACP status need to be improved in elderly CHD patients.They are positively correlated with each other.Presence of spouse,number of complications and trust in medical care are the important influencing factors.Therefore,medical staff can take targeted measures to improve ACP readiness and mental health quality.

关 键 词：冠心病 预立医疗照护计划 影响因素分析 

分 类 号：R541.4[医药卫生—心血管疾病]