急性心肌梗死病人PCI术后社交回避与苦恼现状的影响因素分析

吴藤清; 廖卓琳; 虞敏; 宋仁义; 陈静梅

doi:10.13898/j.cnki.issn.1000-2200.2024.10.028

急性心肌梗死病人PCI术后社交回避与苦恼现状的影响因素分析

Analysis of factors influencing social avoidance and distress after PCI in patients with acute myocardial infarction

摘要

摘要:
目的探究急性心肌梗死(AMI)病人经皮冠状动脉介入手术(PCI)术后社交回避与苦恼现状及其影响因素。
方法选成功行PCI治疗的286例AMI病人纳为研究对象, 收集一般资料及调查病人社交回避与苦恼量表得分。单因素及多元线性回归分析AMI病人PCI术后社交回避与苦恼的影响因素。
结果 286例AMI病人PCI术后社交回避与苦恼平均得分为(16.95±3.19)分。单因素分析显示不同组别年龄、病程、学历、家庭人均月收入、糖尿病、高血压、病耻感、D型人格倾向AMI病人术后社交回避与苦恼程度得分比较, 差异均有统计学意义(P < 0.05~P < 0.01)。多元线性回归分析显示年龄、家庭人均月收入、糖尿病、高血压、病耻感、D型人格倾向均是AMI病人PCI术后社交回避与苦恼的影响因素(P < 0.05~P < 0.01)。
结论 AMI病人PCI术后社交回避与苦恼程度较高, 主要影响因素为年龄、家庭人均月收入、糖尿病、高血压、病耻感、D型人格倾向。

Abstract:
Objective To explore the factors influencing the social avoidance and distress after percutaneous coronary intervention (PCI) in patients with acute myocardial infarction (AMI).
Methods A total of 286 cases AMI patients who were successfully treated by PCI were selected as the research objects.The general information of the subjects were collected and a social avoidance and distress scale survey were conducted.The factors influencing the social avoidance and distress in AMI patients after PCI were analyzed by single factor and multiple stepwise regression.
Results The total average score of social avoidance and distress in 286 patients with AMI after PCI was (16.95±3.19) points.Univariate analysis showed that there were significant differences in the scores of social avoidance and distress among AMI patients with different age, course of disease, educational background, family income per month, diabetes mellitus, hypertension, stigma and type D personality tendency (P < 0.05 to P < 0.01).Multiple linear regression analysis showed that age, family income per month, diabetes mellitus, hypertension, stigma and type D personality tendency were all the influencing factors of social avoidance and distress after PCI in AMI patients (P < 0.05 to P < 0.01).
Conclusions AMI patients have higher degree of social avoidance and distress after PCI.The main factors influencing the social avoidance and distress after PCI are age, family income per month, diabetes mellitus, hypertension, stigma and type D personality tendency.

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