冠状动脉支架植入患者心理弹性状况调查及与生活质量的关系研究

目的:调查冠状动脉支架植入(ICS)患者心理弹性状况,并分析心理弹性与生活质量的关系。方法:选取2019年3月~2021年4月我院收治的ICS患者120例作为观察组,另选取同期来我院进行健康体检的志愿者80例作为对照组,对比两组患者的生活质量评分,以心理弹性量表(CD-RICS)调查ICS患者的心理弹性状况,采用Pearson相关分析ICS患者生活质量与心理弹性的相关性,采用Logistic回归分析ICS患者心理弹性水平的影响因素。结果:观察组36条目健康调查简表(SF-36)各维度评分及总评分均低于对照组(P<0.05)。120例ICS患者的心理弹性总分为(64.41±5.73)分,心理弹性各维度得分由低到高分别为乐观、力量、坚韧。Pearson相关分析结果表明,ICS患者的生活质量平均分与心理弹性总分呈正相关(P<0.05)。冠心病病程、文化程度、家庭月收入、兴趣爱好数量、居住地对ICS患者的心理弹性得分有影响(P<0.05)。冠心病患病时间≥10年、文化程度为初中及其以下、家庭月收入≤3000元、兴趣爱好为1~2个、居住地为农村是ICS患者心理弹性水平的影响因素(P<0.05)。结论:ICS患者的心理弹性水平一般,且可影响患者生活质量,受到冠心病病程时长、文化程度、家庭收入水平、兴趣爱好、居住地等多种因素影响,应制定合理措施来提高ICS患者的心理弹性,促进患者身心健康。

Investigation on Status of Mental Resilience of Patients with Intracoronary Stenting and its Correlation Analysis with Quality of Life

Objective: To investigate the status of mental resilience in patients with intracoronary stenting(ICS), and to analyze the relationship between mental resilience and quality of life. Methods: 120 patients with ICS who were treated in our hospital from March 2019 to April 2021 were selected as the observation group, and 80 volunteers who came to our hospital for physical examination in the same period were selected as the control group. The quality of life scores of the two groups were compared, the connor-davidson resilience scale(CD-RICS) was used to investigate the mental resilience of patients with ICS. Pearson correlation was used to analyze the correlation between quality of life and mental resilience in patients with ICS, and Logistic regression was used to analyze the influencing factors of mental resilience in patients with ICS. Results: The scores of all dimensions and average scores of 36 item health survey summary table(SF-36) in the observation group were lower than those in the control group(P<0.05). The total score of mental resilience of 120 patients with ICS was(64.41 ±5.73), the scores of each dimension of mental resilience from low to high were optimism, strength and tenacity. Pearson correlation analysis showed that the average score of quality of life in patients with ICS was positively correlated with the total score of mental resilience(P<0.05). The coronary heart disease course, educational level, family monthly income, number of interests and hobbies and residence had an impact on the score of mental resilience of patients with ICS(P<0.05). The influencing factors of mental resilience of patients with ICS were the duration of coronary heart disease ≥ 10 years, the educational level of junior middle school and below, the monthly family income ≤ 3000 yuan, 1 ~ 2 interests and hobbies, and the residence in rural areas(P<0.05). Conclusion: The level of mental resilience of patients with ICS is general, and can affect the quality of life of patients. Affected by many factors such as the duration of coronary heart disease, educational level, family income level, interests and hobbies, residence and so on, reasonable measures should be formulated to improve the mental resilience of patients with ICS and promote their physical and mental health.