摘要
目的探讨心理应激在急性冠脉综合征(ACS)经皮冠状动脉介入治疗(PCI)术后患者睡眠障碍与疲劳间的中介效应。方法采用便利抽样法,选取2024年8-9月吉林大学中日联谊医院305例ACSPCI术后患者为研究对象。采用一般资料调查表、多维疲劳量表(MFI-20)、90项症状自评量表(SCL-90)、匹兹堡睡眠质量指数(PSQI)分别于患者出院时、出院后1个月对其进行调查。结果305例ACSPCI术后患者出院时MFI-20评分为(59.27±18.33)分,SCL-90评分为(141.09±49.08)分,PSQI评分为(10.72±4.95)分。出院后1个月MFI-20评分为(55.58±19.28)分,SCL-90评分为(134.08±44.29)分,PSQI评分为(9.17±5.20)分。中介效应分析结果显示,出院时,睡眠障碍对疲劳的直接效应为0.403,中介效应为0.216,总效应为0.619,中介效应占总效应的34.89%。出院后1个月,睡眠障碍对疲劳的直接效应为0.385,中介效应为0.355,总效应为0.740,中介效应占总效应的47.97%。结论在ACS患者PCI术后不同时点,心理应激在睡眠障碍与疲劳间均起到了中介效应。提示临床应关注ACSPCI术后患者的睡眠障碍和心理应激水平,从而改善其疲劳程度。
Objective To investigate the mediating effect of psychological stress between sleep disorder and fatigue in patients with acute coronary syndrome(ACS)undergoing percutaneous coronary intervention(PCI).Methods Convenience sampling was used to select 305 ACS patients with PCI from August to September 2024 in China-Japan Union Hospital of Jilin University.General Information Questionnaire,Multidimensional Fatigue Inventory-20(MFI-20),Symptom Checklist 90(SCL-90),and Pittsburgh Sleep Quality Index(PSQI)were used to survey the patients at discharge,and one month after discharge.Results The MFI-20,SCL-90,and PSQI scores at discharge of 305 patients with PCI for ACS were(59.27±18.33),(141.09±49.08),and(10.72±4.95),respectively.The MFI-20,SCL-90,and PSQI scores at one month after discharge were(55.58±19.28),(134.08±44.29),and(9.17±5.20),respectively.Mediating effect analysis showed that at discharge,the direct effect of sleep disorder on fatigue was 0.403,the mediating effect was 0.216,and the total effect was 0.619,with the mediating effect accounting for 34.89%of the total effect.One month after discharge,the direct effect of sleep disorder on fatigue was 0.385,the mediating effect was 0.355,and the total effect was 0.740,with the mediating effect accounting for 47.97%of the total effect.Conclusions Psychological stress plays a mediating role between sleep disorder and fatigue at different time points in ACS patients undergoing PCI.Clinical attention should be paid to sleep disorders and psychological stress of ACS patients undergoing PCI,so as to improve their fatigue.
作者
孙文悦
姜珊
戚婷
杨萍
郭婧
刘婧茹
Sun Wenyue;Jiang Shan;Qi Ting;Yang Ping;Guo Jing;Liu Jingru(Department of Cardiology,China-Japan Union Hospital of Jilin University,Changchun 130033,China;Nursing Department,China-Japan Union Hospital of Jilin University,Changchun 130033,China;School of Public Health,Jilin University,Changchun 130000,China)
出处
《中华现代护理杂志》
2025年第30期4164-4169,共6页
Chinese Journal of Modern Nursing
基金
国家自然科学基金(81970209)。
关键词
急性冠脉综合征
经皮冠状动脉介入治疗
心理应激
睡眠障碍
疲劳
Acute coronary syndrome
Percutaneous coronary intervention
Psychological stress
Sleep disorder
Fatigue
