摘要
目的:探索急性心肌梗死(AMI)病人短期疲劳的发展特点及其影响因素。方法:采用便利抽样法,抽取某三甲医院103例AMI病人,评估病人出院时、出院后1~3个月的短期疲劳状况,并判断病人短期疲劳发展特点和疲劳发展类别。采用单因素和多因素logistic回归分析判断疲劳各个类别的影响因素。结果:AMI病人疲劳的发展纵向类别占比为明显缓解组40.78%(42/103)、缓慢缓解组48.54%(50/103)和无缓解组10.68%(11/103)。性别、KILLIP分级、感知社会支持在疲劳轨迹不同类别组中差异均有统计学意义(P<0.05~P<0.01);出院前后焦虑(GAD-2)、抑郁(PHQ-2)和失眠(AIS)在疲劳轨迹不同类别组中差异均有统计学意义(P<0.05~P<0.01)。多分类logistic回归分析显示男性、KILLIP分级Ⅰ级、感知到社会支持是缓慢缓解组的保护因素,而失眠(出院后3个月)是缓慢缓解组的危险因素;感知到社会支持是明显缓解组的保护因素,而焦虑(出院时)和抑郁(出院时)、失眠(出院后3个月)是明显缓解组的危险因素。结论:建议在以后的临床护理工作中,根据心肌梗死病人疲劳发展特点和发展类别,进行针对性护理,防止持续疲劳的发生。
Objective:To explore the development characteristics and influencing factors of short-term fatigue in patients with acute myocardial infarction(AMI).Methods:A total of 103 patients with AMI were selected from a tertiary grade A hospital by convenience sampling method.The short-term fatigue status of patients at discharge and after 1-3 months of discharge were evaluated,and the development characteristics and categories of short-term fatigue were determined.The single factor and multiple factor logistic regression analysis were used to determine the influencing factors of each type of fatigue.Results:The proportions of developmental longitudinal categories of AMI patients fatigue were 40.78%(42/103),48.54%(50/103)and 10.68%(11/103)in significant remission group,slow remission group and no remission group,respectively.The gender,KILLIP grade and perceived social support were statistically significant among different groups of fatigue trajectory(P<0.05 to P<0.01).The anxiety(GAD-2),depression(PHQ-2)and insomnia(AIS)before and after discharge were compared among different groups of fatigue trajectory,and the differences were statistically significant(P<0.05 to P<0.01).The results of multiple logistic regression analysis showed that the male,KILLIP gradeⅠ,and perceived social support were the protective factors,while the insomnia after 3 months of discharge was the risk factor in the slow remission group.The perceived social support was a protective factor,while the anxiety at discharge,depression at discharge and insomnia after 3 months of discharge were the risk factors in the significant remission group.Conclusions:It is suggested that in the future clinical nursing work,the targeted nursing should be carried out according to the characteristics and types of fatigue development of patients with myocardial infarction to prevent the occurrence of persistent fatigue.
作者
张盼盼
毕清泉
ZHANG Pan-pan;BI Qing-quan(Department of Emergency Medicine,Fuyang Hospital Affiliated to Anhui Medical University,Fuyang Anhui 236000;School of Nursing,Anhui Medical University,Hefei Anhui 230000,China)
出处
《蚌埠医学院学报》
CAS
2023年第6期841-845,共5页
Journal of Bengbu Medical College
关键词
心肌梗死
短期疲劳
影响因素
护理
myocardial infarction
short-term fatigue
influencing factor
nursing
