Longitudinal study of psychological distress trajectory and influencing factors in patients with primary acute myocardial infarction
10.3760/cma.j.cn211501-20230128-00187
- VernacularTitle:初发急性心肌梗死患者心理痛苦轨迹及影响因素的纵向研究
- Author:
Xueqing ZHU
1
;
Yang GE
;
Tao WU
;
Yimei ZHENG
;
Liting WANG
;
Meng LI
;
Jing YE
Author Information
1. 中国医学科学院北京协和医院心内科导管室，北京 100730
- Keywords:
Acute myocardial infarction;
Psychological pain;
Influencing factors;
Longitudinal study
- From:
Chinese Journal of Practical Nursing
2023;39(23):1761-1766
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the changes and influencing factors of psychological distress in patients with primary acute myocardial infarction (AMI) in different periods, and to provide reference for the management of psychological distress in patients with primary AMI.Methods:This was a longitudinal, prospective, observational study. From June 2021 to September 2022, 118 patients with primary AMI in Peking Union Medical College Hospital and Peking University First Hospital were selected as the research objects. The psychological distress level of patients was investigated on the points of 24 hours after illness (T 1), before discharge (T 2), 1 month after discharge (T 3), 3 months after discharge (T 4), 6 months after discharge (T 5) and 12 months after discharge (T 6), and the influencing factors were analyzed. Results:The detection rate of psychological distress in 6 follow-up survey nodes was 66.95% (79/118), 48.31% (57/118), 29.66% (35/118), 24.58% (29/118), 19.49% (23/118) and 15.25% (18/118) respectively. Education level, family per capita income and disease awareness had significant effects on the psychological distress of patients with primary AMI at the time points from T 1 to T 6 ( β values were - 1.262 to - 0.212, all P<0.05). Conclusions:The level of psychological distress in primary AMI patients decreased with time. Nursing staff should pay attention to the trajectory and influencing factors of psychological pain, and formulate targeted intervention measures to reduce the level of psychological pain and promote the comprehensive rehabilitation of patients.
