房颤冷冻消融患者术后恐惧疾病进展现状及危险因素分析  

Analysis of the status and risk factors of postoperative fear of disease progression in patients with atrial fibrillation undergoing cryoablation

作　　者：周玫玫 魏艳秋 张明婷 Zhou Meimei;Wei Yanqiu;Zhang Mingting(Wuxi People's Hospital Affiliated to Nanjing Medical University,Wuxi Medical Center'of Nanjing Medical University,Wuxi People's Hospital,Wuxi,Jiangsu 214000,China)

机构地区：[1]南京医科大学附属无锡人民医院,南京医科大学无锡医学中心,无锡市人民医院,江苏无锡214000

出　　处：《首都食品与医药》2025年第5期39-42,共4页Capital Food Medicine

基　　金：无锡市卫生健康委员会科研项目(编号:M202313)。

摘　　要：目的 考察房颤患者冷冻消融术(CBA)术后恐惧疾病进展水平,并针对性调查相关危险因素.方法 选取2023年4月-2024年4月本院收治的房颤患者118例为观察对象,所有患者均接受CBA治疗,通过医院信息系统调阅其基线资料,采用恐惧疾病进展简化量表评估术后恐惧疾病进展现状,以线性分析房颤患者CBA术后恐惧疾病进展危险因素.结果 经统计,118例CBA术后房颤患者FoP-Q-SF评分平均(34.50±8.46)分,其中得分≥34分60例,占比50.85%;工作状态在职、睡眠障碍、低水平疾病认知及存在病耻感的CBA术后房颤患者FoP-Q-SF评分较工作状态无业/退休、无睡眠障碍、高水平疾病认知及不存在病耻感患者更高(P<0.05);线性分析发现,工作状态在职、有睡眠障碍、低水平疾病认知及存在病耻感是房颤CBA术后患者恐惧疾病进展的危险因素(P<0.05).结论 房颤患者CBA术后存在较高的疾病进展恐惧,工作状态在职、睡眠障碍、低水平疾病认知及存在病耻感是其危险因素.Objective To investigate the level of fear of disease progression in patients with atrial fibrillation after cryoablation(CBA),and to investigate the related risk factors.Methods A total of 118 patients with atrial fibrillation admitted to our hospital from April 2023 to April 2024 were selected.All patients were treated with CBA.The baseline data were accessed through the hospital information system.The simplified fear of disease progression scale was used to evaluate the status of postoperative fear of disease progression.Linear analysis of risk factors for fear of disease progression in patients with atrial fibrillation after CBA.Results According to statistics,the average FoP-Q-SF score of 118 patients with atrial fibrillation after CBA was(34.50±8.46)points,of which 60 cases scored≥34 points,accounting for 50.85%;the FoP-Q-SF score of patients with atrial fibrillation after CBA with working status,sleep disorder,low level of disease cognition and stigma was higher than that of patients with unemployed/retired working status,no sleep disorder,high level of disease cognition and no stigma(P<0.05).Linear analysis showed that working status,sleep disorder,low level of disease cognition and stigma were risk factors for fear of disease progression in patients with atrial fibrillation after CBA(P<0.05).Conclusion Patients with atrial fibrillation after CBA have higher fear of disease progression.Working status,sleep disorder,low level of disease cognition and stigma are risk factors.

关 键 词：恐惧疾病进展 危险因素 冷冻消融术 疾病认知 

分 类 号：R541.75[医药卫生—心血管疾病]