心血管疾病患者疾病进展恐惧、心理韧性调查及与疾病严重程度、家庭支持度的关系  

Investigation of fear of disease progression and psychological resilience in patients with cardiovascular diseases and relationship with disease severity and family support

作　　者：顾向梅 李方慧 杨远丽 GU Xiangmei;LI Fanghui;YANG Yuanli(Department of Cardiac Intensive Care Unit,The First Affiliated Hospital of Zhengzhou University(Zhengdong Campus),Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院(郑东院区)心内重症监护病区,450000

出　　处：《中国健康心理学杂志》2025年第4期573-578,共6页China Journal of Health Psychology

基　　金：河南省二〇二〇年科技发展计划(编号:202102310364)。

摘　　要：目的:探究心血管疾病患者疾病进展恐惧、心理韧性调查及其与疾病严重程度、家庭支持度的关系。方法:选取2023年3月-2024年3月某院收治的98例心血管疾病患者作为研究对象,采用疾病进展恐惧量表(FoP-Q-SF)、心理韧性量表、APACHEⅡ评分系统、家庭关怀度指数问卷(APGAR)进行调查,采用Person相关性分析疾病进展恐惧、心理韧性及其与疾病严重程度、家庭支持度间的相关性。结果:疾病进展恐惧调查结果显示,心血管疾病患者FoP-Q-SF得分轻度占比31.63%,中度占比52.04%,重度占比16.33%;心理韧性调查结果显示,心血管疾病患者CD-RISC得分差占比36.73%,良占比48.98%,优占比14.29%;心血管疾病患者FoP-Q-SF得分为34.11±2.33分、CD-RISC得分为62.45±8.76分、APACHEⅡ得分为27.15±5.84分、APGAR得分为9.63±1.92;FoP-Q-SF与CD-RISC及其子维度呈负相关(r=-0.423,P<0.01),FoP-Q-SF与APACHEⅡ及其子维度呈正相关(r=0.392,P<0.01),FoP-Q-SF与APGAR及其子维度呈负相关(r=-0.312,P<0.01),CD-RISC与APACHEⅡ及其子维度呈负相关(r=-0.382,P<0.01),CD-RISC与APGAR及其子维度呈正相关(r=0.453,P<0.01),APACHEⅡ与APGAR及其子维度呈负相关(r=-0.262,P<0.01)。结论:心血管疾病患者普遍存在疾病进展恐惧,多数患者的心理韧性处于中等水平,且心血管疾病患者的疾病进展恐惧、心理韧性、疾病严重程度和家庭支持度之间存在显著的相互关系,应在心血管疾病患者的临床管理中,采取全面干预策略,同时关注生理、心理和社会因素,以改善患者的整体健康状况和生活质量。Objective:To explore and investigate the fear of disease progression and psychological resilience in patients with cardiovascular diseases,and analyze the relationship with disease severity and family support.Methods:A total of 98 patients with cardiovascular diseases in the hospital were selected from March 2023 to March 2024 as the research subjects.Fear of Progression Questionnaire-Short Form(FoP-Q-SF),Resilience Scale,APACHE II scoring system and Family APGAR Index Questionnaire(APGAR)were used for investigation.Person correlation analysis was used to analyze the correlation between fear of disease progression,psychological resilience and disease severity and family support.Results:Investigation results of fear of disease progression showed that the FoP-Q-SF score of patients with cardiovascular diseases accounted for 31.63%of mild,52.04%of moderate and 16.33%of severe.Investigation results of psychological resilience showed that CD-RISC score accounted for 36.73%of poor,accounted for 48.98%of good and 14.29%of excellent.FoP-Q-SF score,CD-RISC score,APACHEⅡscore and APGAR score were(34.11±2.33)points,(62.45±8.76)points,(27.15±5.84)points and(9.63±1.92)points.FoP-Q-SF was negatively correlated with CD-RISC and its subdimensions(r=-0.423,P<0.01),FoP-Q-SF was positively correlated with APGAR and its subdimensions(r=0.392,P<0.01),and FoP-Q-SF was negatively correlated with APGAR and its subdimensions(r=-0.312,P<0.01).CD-RISC was negatively correlated with APGAR and its subdimensions(r=-0.382,P<0.01),and CD-RISC was positively correlated with APGAR and its subdimensions(r=0.453,P<0.01).APACHE II was negatively correlated with APGAR and its subdimensions(r=-0.262,P<0.01).Conclusion:Fear of disease progression is common in patients with cardiovascular diseases,and the psychological resilience of most patients is at a moderate level.There is a significant correlation between fear of disease progression,psychological resilience,disease severity and family support in patients with cardiovascular diseases.Comprehe

关 键 词：心血管 疾病进展恐惧 心理韧性 疾病严重程度 家庭支持度 

分 类 号：R395.6[哲学宗教—心理学] R749.92[医药卫生—医学心理学]