慢性心力衰竭患者希望水平与焦虑抑郁水平及应对方式相关性分析.docVIP

慢性心力衰竭患者希望水平与焦虑抑郁水平及应对方式相关性分析 　　[摘要] 目的 探讨慢性心力衰竭患者的希望水平与焦虑抑郁程度及应对方式相关性。 方法 选取2016年6月～2017年6月成都市第六人民医院心内科收治的69例慢性心力衰竭患者为研究对象。采用Herth希望量表、焦虑自评量表（SAS）、抑郁自评量表（SDS）及医学应对量表对患者进行调查。 结果 慢性心力衰竭患者的希望水平得分为（31.98±0.75）分，处于中等水平。患者的希望水平与焦虑、抑郁程度呈负相关（P 0.05），与面对应对方式呈正相关（P 0.05），与逃避、屈服应对方式呈负相关（P 0.05）。 结论 慢性心力衰竭患者心理负担较重，医护人员应该根据患者的具体情况鼓励患者采取积极的应对方式，合理干预，有效缓解患者的负性情绪，提高希望水平。 　　[关键词] 慢性心力衰竭；希望水平；焦虑；抑郁；应对方式 　　[中图分类号] R541 [文献标识码] A [文章编号] 1673-7210（2018）03（b）-0056-04 　　Correlation analysis on the hope level of patients with chronic heart failure and the level of anxiety and depression and coping style 　　ZHANG Wenshu XIANG Jing HUANG Oujia 　　Department of Cardiology， the Sixth People′s Hospital of Chengdu， Sichuan Province， Chengdu 610051， China 　　[Abstract] Objective To discuss correlation analysis on the hope level of patients with chronic heart failure and the level of anxiety and depression and coping style. Methods From June 2016 to June 2017， 69 patients with chronic heart failure treated in Department of Cardiology， the Sixth People′s Hospital of Chengdu were selected as the research objects. They were investigated by Herth hope scale， anxiety self-assessment scale （SAS）， depression self-assessment scale （SDS） and medical coping questionnaire. Results The Hope level score of the chronic heart failure patients was （31.98±0.75）， which was at medium level. The level of patient′s hope was negatively correlated with anxiety and depression （P 0.05）， positively correlated with face the coping style（P 0.05）， and negatively correlated with escape and yield response （P 0.05）. Conclusion Patients with chronic heart failure have a higher psychological burden. The medical staff should encourage the patients to adopt positive coping style and reasonable intervention according to their specific situation， so as to effectively alleviate the negative emotion and improve the level of hope. 　　[Key words] Chronic heart failure； Hope level； Anxiety； Depression； Coping style 　　慢性心力衰竭具有?