基于症状管理理论的冠心病患者恐惧疾病进展情况及其影响因素分析  

Analysis of fear of disease progression and its influencing factors in patients with coronary heart disease based on symptom management theory

作　　者：夏莉 XIA Li(Interventional Ward,Traditional Chinese Medicine Hospital of Zhumadian,Zhumadian,Henan,463000,China)

机构地区：[1]驻马店市中医院介入病区,河南驻马店463000

出　　处：《新疆医学》2025年第1期73-77,共5页Xinjiang Medical Journal

摘　　要：目的 探讨基于症状管理理论的冠心病患者恐惧疾病进展情况及其影响因素分析。方法 选取本院2020年1月—2022年12月收治的冠心病患者300例,根据是否伴有恐惧疾病进展情况,有恐惧疾病进展情况设为研究组(n=100)、无恐惧疾病进展情况设为对照组(n=200)。观察基于症状管理理论的冠心病患者恐惧疾病进展情况,并分析冠心病患者恐惧疾病进展的影响因素。结果 冠心病患者发生恐惧疾病进展的概率为33.33%。两组年龄、BMI、病程、职业状况、医保形式、吸烟史、饮酒史、PCI手术史存在差异(P<0.05)。研究组患者的感知控制、家庭功能、社会支持低于对照组,疼痛强度评分高于对照组,(P<0.05)。Pearson相关性分析显示,感知控制、家庭功能、社会支持与冠心病呈现负相关,疼痛强度与冠心病呈现正相关(P<0.05)。Logistic回归分析显示,年龄、职业状况、医保形式、感知控制、家庭功能、社会支持、疼痛强度均是冠心病患者发生恐惧疾病进展的影响因素,数据差异有统计学意义(P<0.05)。研究组干预后恐惧疾病进展、疼痛强度评分均低于干预前,但感知控制、家庭功能、社会支持高于干预前(P<0.05)。结论 冠心病患者发生恐惧疾病进展的概率较高,其中感知控制、家庭功能、社会支持与冠心病呈现负相关,疼痛强度与冠心病呈现正相关,且年龄、职业状况、医保形式、感知控制、家庭功能、社会支持、疼痛强度均是冠心病患者发生恐惧疾病进展的影响因素,通过有效措施进行干预,可有效地改善冠心病患者的恐惧疾病进展情况。ObjectiveTo explore the fear of disease progression in patients with coronary heart disease based on symptom management theory and analyze its influencing factors.MethodsA total of 300 patients with coronary heart disease admitted to our hospital from January 2020 to December 2022 were selected.According to whether they were accompanied by fear of disease progression,patients with fear disease progression were set into the study group(n=100)and patients without fear of disease progression were set into the control group(n=200).Based on symptom management theory,the fear of disease progression in patients with coronary artery disease was observed and the factors influencing the fear of disease progression in patients with coronary artery disease were analyzed.ResultsThe probability of developing fear of disease progression in patients with coronary heart disease was 33.33%.There were differences in age,BMI,disease duration,occupational status,type of medical insurance,smoking history,drinking history,and PCI surgery history between the two groups(P<0.05).The patients in the study group exhibited lower levels of perceived control,family function,and social support compared to those in the control group,and their pain intensity score was higher than that of the control group(P<0.05).Pearson correlation analysis indicated that perceived control,family function,and social support were negatively correlated with coronary heart disease,whereas pain intensity score was positively correlated with coronary heart disease(P<0.05).Logistic regression analysis revealed that age,occupational status,type of medical insurance,perceived control,family function,social support,and pain intensity were all significant factors influencing the development of fear of disease in patients with coronary heart disease,with statistically significant differences in the data(P<0.05).Fear of disease progression and pain intensity scores were lower than pre-intervention in the study group,while perceived control,family functioning,and social supp

关 键 词：症状管理理论 冠心病 恐惧疾病 感知控制 影响因素 

分 类 号：R473.5[医药卫生—护理学]