PCI术后冠心病病人心理弹性的纵向研究

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Longitudinal study on psychological resilience in patients with coronary heart disease after PCI

LIANG Chunrong， QING Yali， ZENG Qingqing， LUO Qiuhu， QIN Chunyu， LI Gaoye， CHEN Wuxian

The First Affiliated Hospital of Guangxi Medical University， Guangxi 530000 China

Corresponding Author  CHEN Wuxian， E⁃mail： nncwx@163.com

Abstract  Objective：To explore the change trend and influencing factors of psychological resilience in patients with coronary heart disease after PCI.Methods：A longitudinal survey was conducted on 180 patients with coronary heart disease who were hospitalized and underwent PCI in a tertiary hospital in Nanning，Guangxi from October 2021 to October 2022 by using the general data questionnaire，10⁃iterm Connor⁃Davidson Resilience Scale，The Positive and Negative Affect Scale and the Medical Coping Modes Questionnaire.Results：The psychological resilience scores of patients with coronary heart disease after PCI during hospitalization，1 month after operation，3 months after operation and 6 months after operation were 23.77±4.61，27.02±4.04，26.60±3.65 and 27.61±3.62，respectively.The development trend of psychological resilience was affected by BMI，drinking history and number of diseased coronary arteries（P<0.05）.Positive emotions，negative emotions，and resignation coping had significant effects on the change trend of resilience.The effect of negative emotions on resilience decreased with time.The influence of positive affect，face coping，avoidance coping and yield coping on psychological resilience does not change with time.Conclusion：The psychological resilience of patients with coronary heart disease after PCI showed a slow upward trend within 6 months after operation.BMI index，drinking history and number of diseased coronary arteries affect the growth rate.Positive emotion，negative emotion and yield coping affect the change of resilience of patients.Positive emotion has a positive prediction on resilience，while negative emotion and yield coping have a negative prediction on resilience.The influence of negative emotions on psychological resilience will gradually decrease with time.

Keywords  coronary heart disease； PCI； psychological resilience； longitudinal study；influencing factor

摘要  目的：探讨经皮冠状动脉介入（PCI）术后冠心病病人心理弹性的变化趋势及影响因素。（剩余21768字）