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目的探讨冠心病(coronary heart disease,CHD)患者焦虑状况与社会支持之间的关系,为提高冠心病患者临床治疗效果提供理论依据。方法采用基本情况调查表、焦虑自评量表(SAS)、领悟社会支持量表(PSSS),对80例住院冠心病患者进行问卷调查。结果冠心病患者焦虑状况评分为42.97±7.61,明显高于国内正常人群,差异有统计学意义(t=10.78,P<0.01);不同文化程度、职业、家庭经济收入、治疗方法的患者焦虑评分比较,差异有统计学意义;冠心病患者社会支持平均得分63.28±9.72,不同文化程度、职业、家庭经济收入的患者其社会支持差异有统计学意义;患者焦虑状况评分与领悟社会支持评分呈负相关(r=-0.519,t=-5.362,P=0.000)。结论冠心病患者存在较为明显的焦虑,焦虑状况与社会支持密切相关,文化程度较低,农民、工人身份、家庭经济收入较低患者焦虑评分较高,社会支持得分较低。
Objective To investigate the relationship between anxiety and social support in patients with coronary heart disease (CHD) and provide a theoretical basis for improving the clinical efficacy of patients with coronary heart disease. Methods A questionnaire survey of 80 hospitalized patients with coronary heart disease was conducted using the Basic Questionnaire, Self-rating Anxiety Scale (SAS) and Perceived Social Support Scale (PSSS). Results The anxiety score of patients with coronary heart disease was 42.97 ± 7.61, which was significantly higher than that of the normal population in China (t = 10.78, P <0.01). The anxiety score of patients with different educational level, occupation, family economic income and treatment The average social support scores of patients with coronary heart disease were 63.28 ± 9.72. There was significant difference in social support among patients with different educational level, occupation and family income. The patients with anxiety score and social support rating were negative (R = -0.519, t = -5.362, P = 0.000). Conclusions There is obvious anxiety in patients with coronary heart disease. Anxiety is closely related to social support, with a low level of education. Patients with lower peasant income, worker status and lower family income have higher anxiety scores and lower social support scores.