Factors associated with psychological resilience in patients with chronic heart failure and efficacy of psycho-cardiology intervention.
Factors associated with psychological resilience in patients with chronic heart failure and efficacy of psycho-cardiology intervention.
复制标题
慢性心力衰竭患者心理弹性的相关因素及心理心脏病学干预的效果。
DOI：
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发表时间：
2022
影响因子：
2.2
通讯作者：
Rehua Wang
中科院分区：
文献类型：
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作者：
Xinkang Wang;Jie Gao;Jianchun Zhang;Yanqiu Yang;Weixin Zhang;Xiling Zhang;Lihong Lu;Rehua Wang
目的
目的探讨心血管心理干预对慢性心力衰竭（CHF）患者心理复原力的影响及其相关因素。
方法
对142例CHF患者进行回顾性研究。这些患者于2017年1月至2021年1月在福建医科大学省级临床医学院心内科住院。按干预方法分组，其中心理干预组74例，常规干预组68例。采用Connor-Davidson复原力量表（CD-RISC）、焦虑自评量表（SAS）、抑郁自评量表（SDS）分别评定干预前后心理复原力及焦虑、抑郁水平。观察CHF患者心理复原力的相关因素。研究心理弹性与干预前焦虑自评量表（SAS）得分的关系。
结果
多因素Logistic回归分析发现，年龄（OR（95% CI）：3.452（0.862-4.872），P=0.015），性别（OR，（95% CI）：3.389（0.872-5.023），P=0.035），SAS评分（OR（95% CI）5.433（1.543-14.333），P=0.027）和SDS评分（OR（95% CI）：5.654（1.572-15.823），P=0.021）是CHF患者心理复原力的相关因素（均P<0.05）。CHF患者的CD-RISC评分平均为56.55±8.89分。心理复原力与焦虑自评量表（SAS）、抑郁自评量表（SDS）得分呈负相关（r=-0.450，P = 0.001）。观察组干预后CD-RISC评分高于干预前，高于对照组，SAS、SDS评分降低（均P<0.05）。
结论
年龄、性别、SAS和SDS评分是CHF患者心理恢复力的相关因素。心理弹性与焦虑和抑郁呈负相关。心血管心理干预可提高患者的心理弹性，减轻焦虑和抑郁情绪。
OBJECTIVE
To explore the value of psycho-cardiology intervention on psychological resilience in patients with chronic heart failure (CHF) and investigate the associated factors.
METHODS
A retrospective study of 142 patients with CHF was carried out. These patients were admitted to the Department of Cardiology, Provincial Clinical Medical College of Fujian Medical University from January 2017 to January 2021. They were grouped according to intervention method, including 74 patients with psycho-cardiology intervention and 68 with conventional intervention. The psychological resilience and the levels of anxiety and depression before and after intervention were assessed with the Connor-Davidson resilience scale (CD-RISC), self-rating anxiety scale (SAS), and self-rating depression scale (SDS), respectively. The factors associated with psychological resilience in patients with CHF were observed. The relationship between psychological resilience and SAS scores before intervention was studied.
RESULTS
Using multivariate logistic regression analysis, we found that age (OR (95% CI): 3.452 (0.862-4.872), P=0.015), gender (OR, (95% CI): 3.389 (0.872-5.023), P=0.035), SAS score (OR (95% CI) 5.433 (1.543-14.333), P=0.027) and SDS score (OR (95% CI): 5.654 (1.572-15.823), P=0.021) were factors associated with psychological resilience in patients with CHF (all P<0.05). The average CD-RISC scores were 56.55±8.89 points in patients with CHF. The psychological resilience was inversely correlated with SAS score (r=-0.450, P<0.001) and SDS scores (r=-0.401, P<0.001). The CD-RISC scores of the observation group after intervention were higher than before intervention and higher than the control group, while SAS and SDS scores were decreased (all P<0.05).
CONCLUSION
Age, gender, SAS, and SDS scores are factors associated with psychological resilience in patients with CHF. Psychological resilience was inversely associated with both anxiety and depression. Psycho-cardiology intervention can improve patients' psychological resilience, and reduce their anxiety and depression.