急性心肌梗死PCI术后病人急性应激障碍现状及其与疾病感知和应对方式的相关性

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· 科研论著 ·

基金项目 2022年度山西白求恩医院院级护理科研基金项目，编号：2022YH05

作者简介 曹二凤，护士，硕士研究生在读

通讯作者 葛文嘉，E⁃mail：445334197@qq.com

引用信息 曹二凤，王宇涛，李鹏，等.急性心肌梗死PCI术后病人急性应激障碍现状及其与疾病感知和应对方式的相关性[J].护理研究，2024，38（1）：37⁃42.

Current status of acute stress disorder in patients with acute myocardial infarction after PCI and its relationship with illness perception and coping strategies

CAO Erfeng， WANG Yutao， LI Peng， DUAN Kaixing， GE Wenjia， WANG Jie

School of Nursing， Shanxi University of Chinese Medicine， Shanxi 030619 China

Corresponding Author  GE Wenjia， E⁃mail： 445334197@qq.com

Abstract  Objective：To investigate the current status of acute stress disorder in patients with acute myocardial infarction after PCI and to explore its correlation with disease perception and coping mode.Methods：A convenient sample of 205 patients with acute ST⁃segment elevation PCI from January to April 2023 in a tertiary grade A hospital in Shanxi was investigated by general data questionnaire， Stanford Acute Stress Reaction Questionnaire，Medical Coping Modes Questionnaire，Brief Illness Perception Questionnaire.Results：The total score of acute stress disorder of 205 patients with acute ST⁃segment elevation PCI was （42.60±10.22）.The results of regression analysis showed that gender，pain level， disease perception and exposure were the influencing factors of acute stress disorder.Mediation effect analysis showed that disease perception could directly predict acute stress disorder （β=0.21，P=0.002）.Facing played a mediating role between illness perception and acute stress disorder （β=0.05，P<0.05），and the mediating effect accounted for 19.23% of the total effect.Conclusion：Patients with acute myocardial infarction after PCI have a high level of acute stress disorder，and medical staff should pay attention to women and patients with high pain level， reduce disease perception and adopt positive response through personalized education to reduce the occurrence of acute stress disorder.

Keywords    acute myocardial infarction； disease perception； coping strategies； acute stress disorder； mediation effect

摘要  目的：调查急性心肌梗死冠状动脉介入（PCI）术后病人急性应激障碍的现状，并探讨其与疾病感知和应对方式的相关性。（剩余11274字）