首次心肌梗死患者的焦虑与生理反应

N. K. A. Suarningsih, W. Kongsuwan, C. Kritpracha
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引用次数: 1

摘要

心肌梗死(MI)是许多国家死亡和发病的主要原因。心肌梗死患者往往伴有焦虑,这可能导致并发症的发生。心肌梗死的首次经历是影响患者焦虑的一个因素。严重和未经治疗的焦虑对梗死的快速反应的生理反应有负面影响。此外,医院对焦虑的评估和治疗通常较少被低估。本研究的目的是探讨首次心肌梗死患者的焦虑水平和生理反应。本研究是一项描述性研究,纳入了印度尼西亚巴厘岛Sanglah医院icu收治的60例首次心肌梗死患者。被试被要求使用状态焦虑量表和特质焦虑量表完成焦虑量表。评估血压、心率和呼吸频率作为焦虑的临床生理反应。结果显示,超过一半的被试存在中度状态焦虑(53.3%),48.3%的被试存在中度特质焦虑。首次经历心肌梗死的患者中有35%表现出高度的状态焦虑。此外,生理反应与焦虑之间存在统计学上的显著相关性,但与收缩压无关。相当多的首次心肌梗死患者被评估为有高度和中度焦虑。因此,这些结果可以作为早期评估心肌梗死患者焦虑的证据,以防止进一步的并发症。
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Anxiety and Physiological Responses in Patients with First Myocardial Infarction
—Myocardial infarction (MI) is a leading cause of mortality and morbidity in many countries. MI in patients tends to be followed by anxiety that may contribute to developing complications. The first experience of MI was found as one factor that influences anxiety in patients. Severe and untreated anxiety has negative impacts on physiological responses as a rapid response to an infarction. Moreover, the assessment and treatment of anxiety in hospitals are commonly less undervalued. The purpose of this study was to examine the anxiety levels and physiological responses among first MI patients. This study was a descriptive study with 60 first MI patients who were admitted to ICCU of Sanglah Hospital, Bali, Indonesia. Subjects were asked to complete the anxiety instrument using the 6-item State Anxiety Inventory and Trait Anxiety Inventory. Blood pressure, heart rate, and respiration rate were assessed as clinical physiological responses of anxiety. The results revealed that more than half of the subjects were found to have moderate state anxiety (53.3%) and 48.3% showed moderate trait anxiety. 35% of patients in their first experience of MI showed a high level of state anxiety. Also, there was a statistically significant correlation between physiological responses and anxiety, however, not in systolic blood pressure. A significant number of patients with first MI were assessed as having high and moderate levels of anxiety. Thus, these results might be taken as evidence to early evaluate the anxiety of MI patients to prevent further complications.
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