慢性心力衰竭患者述情障碍的影响因素分析  

Analysis of the factors infuencing the dysfunction of emotional narratives in patients with chronic heart failure

作　　者：王莎莎 郝安东 赵晓惠[1] WANG Shasha;HAO Andong;ZHAO Xiaohui(Xuzhou Central Hospital,Xuzhou 221000,China)

机构地区：[1]徐州市中心医院,江苏徐州221000

出　　处：《心理月刊》2025年第4期60-62,共3页

摘　　要：目的对慢性心力衰竭患者述情障碍、家庭健康状况进行现状调查并分析述情障碍得分的分布差异。方法方便选取2023年1月~2024年6月我院心内科收治的128例慢性心力衰竭患者作为调查对象,对其发放问卷,分析患者述情障碍、家庭健康状况。采用Pearson相关分析结合单因素分析进行统计检验。结果先后共有128例慢性心力衰竭患者参与到问卷调查中,年龄区间48~78岁,平均60.34±9.23岁。男性55例(42.97%),女性73例(57.03%)。量表评分结果显示:慢性心力衰竭患者述情障碍得分范围24~82分、总分48.84±7.59分,家庭健康得分范围12~48分、总分28.52±6.87分;相关分析发现,述情障碍与家庭健康得分相关关系存在显著性(r=-0.372,P<0.01)。差异分布分析结果:慢性心力衰竭患者述情障碍得分在患者年龄、性别、学历水平、家庭健康及病程时长方面差异显著(P<0.05)。结论慢性心力衰竭患者述情障碍状况处于中等水平。述情障碍与其家庭健康程度存在显著相关关系,且受到患者自身年龄、性别、家庭健康及病程时长的综合影响。临床工作人员应重视慢性心力衰竭患者述情障碍的评估和管理,对于述情障碍患者积极进行疏导,与此同时培养良好的家庭健康氛围,对维持患者身心健康有重要意义。Objective To investigate the current status of chronic heart failure patients'dysphoria and family health and to analyze the distributional differences of dysphoria scores.Methods 128 patients with chronic heart failure admitted to the Department of Cardiology of our hospital from January 2023 to June 2024 were conveniently selected as survey subjects,and questionnaires were distributed to them to analyze the specific status of patients'dysphoria and family health.Pearson correlation analysis combined with one-way analysis was used for statistical testing.Results A total of 128 patients with chronic heart failure participated in the questionnaire survey,with an age range of 48~78 years old and an average of 60.34±9.23 years old.There were 55 cases(42.97%)of males and 73 cases(57.03%)of females.The results of the scale scores showed that patients with chronic heart failure had a range of 24~82 and a total score of 48.84±7.59 for dysphoria,and a range of 12~48 and a total score of 28.52±6.87 for family health,and correlation analysis revealed that the correlation between the dysphoria and the family health scores was significant(r=-0.372,P<0.01).Distributional analysis of differences showed that the differences in the scores of patients with chronic heart failure were significant in terms of age,gender,educational level,family health,and duration of llness(P<0.05).Conclusion The status of dysphoria in patients with chronic heart failure was at an intermediate level.There was a significant correlation between dysphoria and the level of family health,and it was affected by the combination of the patients'own age,gender,family health,and the duration of the disease.Clinical staff should pay attention to the assessment and management of dysphoria in patients with chronic heart failure,and actively counsel patients with dysphoria,while cultivating a good family health atmosphere,which is important for the maintenance of patients'physical and mental health.

关 键 词：慢性心力衰竭 述情障碍 家庭健康 相关性 分布 

分 类 号：B84[哲学宗教—心理学]