急性心肌梗死患者心理状况及应对方式的相关分析.docVIP

急性心肌梗死患者心理状况及应对方式的相关分析 （复旦大学附属上海市第五人民医院 曹健敏 ） 摘要：目的 研究急性心肌梗死患者的心理状况及应对方式，为护理人员开展心理护理提供理论依据，为制定护理干预措施提供参考。方法 2008年9月—2009年9月，对住院确认急性心肌梗死患者进行一般情况、心脏病人心理健康状况问卷（HPPQ）及医学应对问卷（MCMQ）的问卷调查。对收集的资料用SPSS11.0进行统计描述分析和Pearson’s相关分析。结果 有100%患者自觉心理健康不佳，有94.1%患者有无能为力的矛盾心理，有100%患者心理处于消极状态，有94.1%患者存在社交障碍。患者主观健康感得分与面对应对方式呈负相关(P0.01)，与回避应对方式呈正相关(P0.05)；无能为力感得分与面对应对方式呈正相关(P0.05)，与回避应对方式呈负相关(P0.05)；沮丧感、社交障碍感得分与屈服应对方式呈正相关(P0.05)。女性比男性、65周岁以上比50周岁以下病人、未婚、离婚或丧偶者比有配偶者无能为力感、沮丧感更强，自主健康感更差；且不同婚姻状况者在社交障碍分数上也有显著性差异。结论 通过对患者进行全面评估，了解不同患者、疾病发展不同阶段的心理健康状况及应对方式，有的放矢地开展连续性心理护理活动，以利于医疗护理工作的进行。 关键词：急性心肌梗死；心理健康状况；应对方式 Psychological health and coping style in patients with acute myocardial infarction (The fifth Peoples Hospital of Shanghai Affiliated to Fudan University，Shanghai 200040，China) CAO Jianmin Abstract:Objective To investigate psychological health,coping style and related influencing factors in AMI patients,and provided the theoretical basis for nurses to take psychological care for AMI patients.Methods A cross-sectional study was carried out in the fifth hospital of Fudan University, Shanghai, P.R. China. A total 88 AMI patients were selected as the subjects of the study, who were hospitalized from September in 2008 to September in 2009.Psychological health and coping style were assessed by using Heart Patients Psychological Questionnaire(HPPQ)and Medical Coping Modes Questionnaire (MCMQ) The relationship between psychological health and coping style were analyzed using Pearsons correlation analysis.Results Psychological healths status in AMI patients were listed as the follows: 100 percent of patients did not feel well-being; Disability were felt by 94.1 percent,Despondency were felt by 100 percent of AMI patients; Social inhibition were felt by 94.1 percent of AMI patients.In AMI patients，well-being was negatively related to confronce(r--0.6896), and was positively related to avoidance (r=0.5985); disability was positively related to confronce (r=0.5356), and was negatively related to avoi