急性心肌梗死患者急性应激障碍的影响因素分析

发布时间：2018-04-09 10:41

本文选题：急性心肌梗死　切入点：急性应激障碍　出处：《现代预防医学》2017年16期

【摘要】：目的探讨急性心肌梗死患者急性应激障碍的危险因素。方法对2015年7月-2016年5月在唐山工人医院就诊的急性心肌梗死伴急性应激障碍患者122例和单纯急性心肌梗死患者244例,采用斯坦福急性应激反应问卷、视觉模拟评分尺对患者的急性应激反应情况进行评测。结果 366例急性心肌梗死患者SASRQ得分平均(45.30±26.877)分,多因素Logistic回归分析显示女性、发病3次及以上、重度胸痛、睡眠质量差是急性心肌梗死患者急性应激障碍的危险因素,年龄、疼痛不影响睡眠是急性心肌梗死患者急性应激障碍的保护因素(P0.05)。结论急性心肌梗死患者存在明显的急性应激反应,严重胸痛、3次以上犯病、睡眠质量差是急性心肌梗死患者发生急性应激障碍的危险因素。
[Abstract]:Objective to investigate the risk factors of acute stress disorder in patients with acute myocardial infarction.Methods from July 2015 to May 2016, 122 patients with acute myocardial infarction with acute stress disorder and 244 patients with simple acute myocardial infarction were enrolled in Tangshan Workers Hospital. Stanford acute stress response questionnaire was used.Visual analogue scale was used to evaluate the acute stress response of patients.Pain does not affect sleep is a protective factor of acute stress disorder in patients with acute myocardial infarction (AMI).Conclusion patients with acute myocardial infarction have obvious acute stress response, severe chest pain is more than 3 times, and poor sleep quality is the risk factor of acute stress disorder in patients with acute myocardial infarction.
【作者单位】：华北理工大学附属医院;华北理工大学护理与康复学院;
【基金】：华北理工大学研究生创新项目(2016S30)
【分类号】：R542.22

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