摘要
目的探讨住院心肌梗死病人躯体化症状及影响因素,为制定针对性的干预措施提供依据。方法2016年5月—2017年3月,选取住院心肌梗死病人203例,采用躯体化症状自评量表(SSS)、健康问卷抑郁症状群量表(PHQ-9)和广泛性焦虑量表(GAD-7)对入选病人进行测评,对影响住院心肌梗死病人躯体化症状的因素进行多元逐步回归分析。结果住院心肌梗死病人躯体化症状总分为(35.56±9.68)分,躯体化症状与焦虑抑郁呈显著正相关(r=0.530、0.640,P<0.01)。多元逐步回归分析显示,影响住院心肌梗死病人躯体化症状的主要因素为性别、住院次数、是否支架植入及急诊转入等。结论在住院心肌梗死病人中女性躯体化症状较重,对于急症入院或频繁入院、支架植入且伴有焦虑抑郁的病人应采取相应干预措施,提高其生活质量。
Objective To investigate the somatization symptoms and related influencing factors in hospitalized patients with myocardial infarction,and to provide a basis for developing targeted intervention measures.Methods From May 2016to March 2017,203hospitalized patients with myocardial infarction were enrolled and assessed with Somatic Self-rating Scale(SSS),Patient Health Questionnaire-9(PHQ-9),and the 7-item Generalized Anxiety Disorder Scale(GAD-7).A multivariate stepwise regression analysis was performed to identify the influencing factors for somatization symptoms in hospitalized patients with myocardial infarction.Results In hospitalized patients with myocardial infarction,the total score of somatization symptoms was 35.56±9.68and somatization symptom score was positively correlated with anxiety and depression(r=0.530and 0.640,P<0.01).The multiple stepwise regression analysis showed that sex,times of hospitalization,stent implantation,and emergency transfer were the main influencing factors for somatization symptoms in hospitalized patients with myocardial infarction.Conclusion Female hospitalized patients with myocardial infarction have severe somatization symptoms.Related intervention measures should be adopted for patients with emergency admission or frequent admission,stent implantation,and anxiety and depression.
作者
冷敏
修红
李姗
魏玉玲
张南南
代晓雪
LENG Min;XIU Hong;LI Shan;WEI Yuling;ZHANG Nannan;DAI Xiaoxue(Department of Cardiology,The Affiliated Hospital of Qingdao University,Qingdao 266555,China)
出处
《青岛大学学报（医学版）》
CAS
2019年第1期64-67,共4页
Journal of Qingdao University(Medical Sciences)
基金
青岛市民生科技计划项目(14-2-3-15-nsh)
关键词
心肌梗死
住院
医学无法解释的症状
影响因素分析
myocardial infarction
hospitalization
medically unexplained symptoms
root cause analysis
