伊朗医科大学心内科2021年收治急性心肌梗死患者的死亡焦虑和情绪低落

Soheil Rahimi, M. Inanlou, T. Najafi Ghezeljeh, H. Haghani
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摘要

背景与目的心脏病发作后的心理并发症与其他生理并发症一样重要。这些病人与死亡的接近导致了死亡焦虑,这可能会削弱他们的士气。本研究旨在确定2021年入住伊朗医科大学心后护理病房的急性心肌梗死患者的死亡焦虑和士气低落。材料与方法本研究是一项描述性横断面研究,对2021年上半年伊朗医科大学教育医学中心收治的206例心肌梗死患者进行研究。数据收集工具包括人口统计资料表、Templer死亡焦虑问卷和Kissane士气低落。数据分析采用SPSS软件、version 20、Pearson相关系数、独立t检验、方差分析。结果本组患者以男性、已婚、个体户为主,平均年龄57.97±12.49岁。心肌梗死患者死亡焦虑平均评分为6.26±1.62(中度)。大多数患者(43.7%)有中度死亡焦虑。士气低落综合征平均评分为11.88±5.34分(重度)。大多数患者(60.7%)有严重的士气低落综合征。结论心肌梗死后患者死亡焦虑程度中等,士气低落综合征严重,应引起重视,认识重症监护病房护士的影响因素,并建议将其纳入重症监护患者的护理培训。
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The Death Anxiety and Demoralization in Patients With Acute Myocardial Infarction Admitted to Post Cardiac Care Units of Iran University of Medical Sciences in 2021
Background & Aims It is essential to pay attention to the psychological complications after a heart attack in line with other physiological complications. The proximity of these patients to death has caused death anxiety, which can weaken their morale. This study aims to determine death anxiety and demoralization in patients with acute myocardial infarction admitted to post-cardiac care units of the Iran University of Medical Sciences in 2021. Materials & Methods The present study is a descriptive cross-sectional study that was performed on 206 patients with myocardial infarction admitted to the educational-medical centers of Iran University of Medical Sciences in the first half of 2021. Data collection tools included the demographic profile form, Templer death anxiety questionnaire, and Kissane demoralization. Data were analyzed using SPSS software, version 20 and Pearson correlation coefficient, independent t test, and analysis of variance. Results Most patients in the study were male, married, and self-employed with a mean age of 57.97±12.49 years. The mean score of death anxiety in patients with myocardial infarction was 6.26±1.62 (moderate). Most patients (43.7%) had moderate death anxiety. The mean score of demoralization syndrome was 11.88±5.34 (severe). Most patients (60.7%) had severe demoralization syndrome. Conclusion The death anxiety of patients after myocardial infarction was moderate and their demoralization syndrome was severe, therefore it is necessary to pay attention to them and recognize the factors affecting nurses working in intensive care units and recommend being included in the training of care for these patients.
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