發(fā)布時間：2018-04-09 10:41

  本文選題：急性心肌梗死　切入點：急性應(yīng)激障礙　出處：《現(xiàn)代預(yù)防醫(yī)學(xué)》2017年16期

【摘要】：目的探討急性心肌梗死患者急性應(yīng)激障礙的危險因素。方法對2015年7月-2016年5月在唐山工人醫(yī)院就診的急性心肌梗死伴急性應(yīng)激障礙患者122例和單純急性心肌梗死患者244例,采用斯坦福急性應(yīng)激反應(yīng)問卷、視覺模擬評分尺對患者的急性應(yīng)激反應(yīng)情況進行評測。結(jié)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回歸分析顯示女性、發(fā)病3次及以上、重度胸痛、睡眠質(zhì)量差是急性心肌梗死患者急性應(yīng)激障礙的危險因素,年齡、疼痛不影響睡眠是急性心肌梗死患者急性應(yīng)激障礙的保護因素(P0.05)。結(jié)論急性心肌梗死患者存在明顯的急性應(yīng)激反應(yīng),嚴(yán)重胸痛、3次以上犯病、睡眠質(zhì)量差是急性心肌梗死患者發(fā)生急性應(yīng)激障礙的危險因素。
[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.
【作者單位】： 華北理工大學(xué)附屬醫(yī)院;華北理工大學(xué)護理與康復(fù)學(xué)院;
【基金】：華北理工大學(xué)研究生創(chuàng)新項目(2016S30)
【分類號】：R542.22

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