摘要
目的探讨多次经皮冠状动脉介入治疗(PCI)的急诊老年急性心肌梗死患者焦虑状态的影响因素。方法纳入2021年5月至2023年4月首都医科大学附属北京康复医院收治的108例多次PCI治疗的急诊老年急性心肌梗死患者作为研究对象,评估患者焦虑状态。比较不同特征急性心肌梗死患者焦虑状况,分析急诊老年急性心肌梗死多次PCI治疗患者焦虑状态的影响因素。结果108例急性心肌梗死多次PCI治疗患者焦虑自评量表(SAS)评分为(65.97±5.12)分,处于中度焦虑水平;不同文化程度、医保类型、日常生活活动能力量表(ADL)评分、吸烟史、饮酒史的急性心肌梗死患者SAS评分比较,差异有统计学意义(P<0.05);不同置入支架个数、病变血管数目、年龄、性别急性心肌梗死患者焦虑状态比较,差异无统计学意义(P>0.05);不同高血压、高脂血症、糖尿病、外周动脉疾病、用药情况急性心肌梗死患者SAS评分比较,差异无统计学意义(P>0.05);经多元线性回归分析,结果显示,吸烟史、医保类型、ADL评分、文化程度、饮酒史是急性心肌梗死多次PCI治疗患者焦虑状态的影响因素(P<0.05)。结论急诊老年急性心肌梗死多次PCI治疗患者处于中度焦虑状态,且其影响因素为文化程度、医保类型、ADL评分、吸烟史、饮酒史。
Objective To explore the influencing factors of anxiety status in elderly emergency patients with acute myocardial infarction(AMI)undergoing multiple percutaneous coronary intervention(PCI).Methods A total of 108 elderly emergency patients with AMI who underwent multiple PCI in Beijing Rehabilitation Hospital,Capital Medical University from May 2021 to April 2023 were included as the study subjects,their anxiety status was evaluated using the Self Rating Anxiety Scale(SAS).The anxiety status of acute myocardial infarction patients with different characteristics was compared,and the influencing factors for anxiety status in the patients were analyzed.Results The SAS score of the AMI patients with multiple PCI was(65.97±5.12),indicating a moderate level of anxiety.There were statistically significant differences in SAS scores among AMI patients with different education level,types of medical insurance,activities of daily living(ADL)scores,history of smoking and drinking(P<0.05).Whereas,the difference was not statistically significant in anxiety status among AMI patients with different implanted stents,diseased vessels,age and gender(P>0.05).There was no statistically significant difference in SAS scores among AMI patients with different hypertension,hyperlipidemia,diabetes,peripheral arterial disease and medication(P>0.05).The results from multiple linear regression analysis showed that smoking history,medical insurance type,ADL score,education level,and alcohol consumption history were the influencing factors for anxiety status in AMI patients with multiple PCI treatments(P<0.05).Conclusion Elderly emergency patients with AMI underwent multiple PCI are in a moderate anxiety state,and the influencing factors are educational level,medical insurance type,ADL score,smoking history,and alcohol consumption history.
作者
薄其娜
程丽娟
曹洪丽
BO Qina;CHENG Lijuan;CAO Hongli(Department of Emergency,Beijing Rehabilitation Hospital,Capital Medical University,Beijing 100144,China)
出处
《河北医药》
CAS
2024年第10期1579-1582,共4页
Hebei Medical Journal
基金
首都医科大学附属北京康复医院2022-2024年科研发展专项项目(编号:2022-070)。
关键词
急性心肌梗死
经皮冠状动脉介入治疗
焦虑
影响因素
acute myocardial infarction
percutaneous coronary intervention
anxiety
influencing factor
