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目的了解急性心肌梗死患者急性应激反应情况及其相关影响因素。方法对2015年7月—2016年3月唐山工人医院和迁西县人民医院急性心肌梗死住院患者420例,采用一般资料调查表和斯坦福急性应激反应问卷(SASRQ)进行评测。结果 420例患者SASRQ总分介于40~56分者占21.2%,57~150分者占28.3%;有分离症状者占43.3%,有创伤再体验症状者占56.2%,有回避症状者占41.4%,有焦虑或警觉性增高症状者占46.9%。结果显示,肌酸激酶同工酶(CK-MB)(β=0.105)、高中专及以上教育程度(β=-0.119~-0.108)、糟糕天数(β=0.428)、烦扰程度(β=0.279)最终进入回归方程(P<0.05)。结论急性心肌梗死患者存在明显的急性应激症状,受教育水平低、CK-MB值高、糟糕天数多、烦扰程度重的患者发生急性应激障碍的可能性越大。
Objective To understand the acute stress response and its related factors in patients with acute myocardial infarction. Methods A total of 420 inpatients with acute myocardial infarction from Tangshan Workers Hospital and Qianxi County People’s Hospital from July 2015 to March 2016 were evaluated by the SAS and SASRQ questionnaires. Results The SASRQ score of 420 patients was 21.2% with the score of 40-56 and 28.3% with 57-150, 43.3% with the symptom of separation, 56.2% with the symptoms of traumatic re-experience, 41.4%, with anxiety or alertness increased symptoms accounted for 46.9%. The results showed that the levels of CK-MB (β = 0.105), education of higher secondary education and above (β = -0.119-0.108), bad days (β = 0.428) 0.279) finally entered the regression equation (P <0.05). Conclusions Patients with acute myocardial infarction have obvious symptoms of acute stress. The patients with acute education-induced acute stress disorder are more likely to suffer from low level of education, high CK-MB, worse days and more disturbance.