CAJ | 학술논문

目的探讨PCI术患者术前焦虑状态及其影响因素.方法采用状态-特质焦虑问卷(STAI)、医学应对问卷(MCMQ)和社会支持问卷(SSRS)对149名患者进行调查,并对调查进行统计分析.结果 149例患者中焦虑患者66例,发生率占44.3％；性别(x2=51.31,P=0.00)、经济收入(x2=9.06,P=0.03)、客观支持(t=4.67,P=0.00)、主观支持(t=3.22,P=0.00)、面对(t=2.07,P=0.04)、回避(t =2.38,P=0.02)、屈服(t=4.28,P=0.00)均与PCI术患者术前焦虑的发生有关；多因素Logistic回归分析显示:进入模型的变量有性别、客观支持和主观支持(P均＜0.05).男性发生术前焦虑状态的危险性低于女性患者(OR=22.107)；客观支持度差的患者术前发生状态焦虑的危险性高于客观支持度好的患者(OR =0.755)；主观支持度好的患者术前发生状态焦虑的危险性低于主观支持度差的患者(OR=0.865).结论大多PCI患者术前处于焦虑状态,医护工作者应该针对其影响因素采取有效的措施,促进患者的整体身心康复.
목적 탐토PCI술환자술전초필상태급기영향인소.방법 채용상태-특질초필문권(STAI)、의학응대문권(MCMQ)화사회지지문권(SSRS)대149명환자진행조사,병대조사진행통계분석.결과 149례환자중초필환자66례,발생솔점44.3％；성별(x2=51.31,P=0.00)、경제수입(x2=9.06,P=0.03)、객관지지(t=4.67,P=0.00)、주관지지(t=3.22,P=0.00)、면대(t=2.07,P=0.04)、회피(t =2.38,P=0.02)、굴복(t=4.28,P=0.00)균여PCI술환자술전초필적발생유관；다인소Logistic회귀분석현시:진입모형적변량유성별、객관지지화주관지지(P균＜0.05).남성발생술전초필상태적위험성저우녀성환자(OR=22.107)；객관지지도차적환자술전발생상태초필적위험성고우객관지지도호적환자(OR =0.755)；주관지지도호적환자술전발생상태초필적위험성저우주관지지도차적환자(OR=0.865).결론 대다PCI환자술전처우초필상태,의호공작자응해침대기영향인소채취유효적조시,촉진환자적정체신심강복.
Objective To investigate the strait-state of anxiety and influence factors of patients awaiting PCI surgery.Methods The general material questionnaire,State-Trait Anxiety Inventory,Social Support Rating Scale and Medical Coping Modes Questionnaire were used to investigate 149 PCI surgery patients.Results Among 149 PCI surgery patients,the number of them with anxiety was 66,the prevalence of anxiety in PCI surgery patients was 44.3％ ; The single factor analysis showed that gender (x2 =51.31,P =0.00),monthly income (x2 =9.06,P =0.029),the score of objective support (t =4.67,P =0.00),the score of subjective support (t =3.22,P =0.00),coping modes (t =2.07,P =0.04),avoidance (t =2.38,P =0.02),resignation (t =4.28,P =0.00) were associated with anxiety of patients awaiting PCI surgery.Multiple Logistic regression showed that the influencing factors of anxiety in PCI surgery were gender,subjective support and objective support (P ＜ 0.05).Conclusions The prevalence anxiety in patients awaiting PCI surgery is higher than norms,so we should focus on the nursing intervention models in order to promote the whole health of patients,and improve their satisfaction for doctors and nurses.