中青年急性心肌梗死病人冠状动脉介入术后应激障碍症状群的研究及干预策略

冯琴; 许丽; 郑桂香; 赵培; 焦云根; 周艳; 袁晓晨; 朱莹

doi:10.13898/j.cnki.issn.1000-2200.2022.05.029

中青年急性心肌梗死病人冠状动脉介入术后应激障碍症状群的研究及干预策略

Study on the stress disorder symptom in young and middle-aged patients with acute myocardial infarction after coronary intervention and its intervention strategy

摘要

摘要:
目的分析中青年急性心肌梗死(AMI)病人经皮冠状动脉介入术(PCI)后应激障碍症状群的影响因素以及干预对策。
方法选取72例接受PCI手术治疗的中青年AMI病人，根据创伤后应激障碍评定量表(PCL-S)评分分为观察组(n=32，PCL-S评分>50分)和对照组(n=40，PCL-S评分≤50分)。分析中青年AMI病人PCI术后应激障碍症状群的影响因素。
结果 2组性别、年龄、病变部位差异均无统计学意义(P>0.05)；2组文化程度、介入数目、经济收入、Killip分级差异均有统计学意义(P < 0.05~P < 0.01)。Logistic回归分析显示，文化程度、介入数目、经济收入和Killip分级均为中青年AMI病人PCI术后应激障碍症状群的独立影响因素(P < 0.05)。
结论文化程度、介入数目、经济收入、Killip分级是影响中青年AMI病人PCI术后应激障碍症状群的重要因素，通过护理干预可提高病人疾病认知和心功能，降低术后应激障碍症状群的发生。

Abstract:
Objective To analyze the influencing factors and intervention strategies of stress disorder symptom in young and middle-aged patients with acute myocardial infarction(AMI) after percutaneous coronary intervention(PCI).
Methods A total of 72 young and middle-aged AMI patients undergoing PCI were selected and divided into observation group(n=32, PCL-S score>50 points) and control group(n=40, PCL-S score≤50 points) according to the PCL-S score.Logistic regression was used to analyze the influencing factors of stress disorder symptom in young and middle-aged AMI patients after PCI.
Results There were no significant differences in gender, age and lesion location between the two groups(P>0.05).The differences of education level, number of interventions, economic income, and Killip grade were statistically significant between the two groups(P < 0.05 to P < 0.01).Logistic regression analysis showed that education level, number of interventions, economic income, and Killip grade were the influencing factors of stress disorder symptom in young and middle-aged AMI patients after PCI(P < 0.05).
Conclusions Education level, number of interventions, economic income, Killip grade are important factors affecting the stress disorder symptom in young and middle-aged AMI patients after PCI.Nursing intervention can improve patients′ disease cognition and cardiac function, and reduce the occurrence of postoperative stress disorder symptom.

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