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目的研究急性心肌梗死患者创伤后成长状况及PTG的预测因素.方法选取2014年5月至2016年4月攀枝花市中心医院诊治的急性心肌梗死患者97例,出院前1 d利用自拟问卷调查表进行面对面调查,出院后8周采用电话回访方式进行问卷调查,调查内容包括:创伤后成长调查量表(PTGI)、亲密关系经历量表(ECR)、多伦多述情感障碍量表(TAS-20)及童年期创伤问卷(CTQ)等.结果 97例急性心肌梗死患者69例第1阶段发生PTG,显著高于第2阶段的23.3%(P<0.05);仅存在第1阶段PTG患者发生率,显著高于2阶段均存在患者(P<0.05);PTSD症状阳性和PTSD症状阴性患者CTQ评分差异无统计学意义(P>0.05);PTSD症状阳性患者PTGI、ECR中依恋回避和依恋焦虑、TAS-20评分,显著高于PTSD症状阴性(P<0.05);Logistic回归分析显示:急性心肌梗死患者PTG与ECR依恋焦虑得分、CTQ情感忽略得分关系密切(P<0.05).结论急性心肌梗死患者出院前存在较高水平创伤后成长,且依恋焦虑水平较高患者创伤后成长水平更高,但是经历童年期情感忽视患者创伤后成长影响较小.
Objective To study the post-traumatic growth and the prognostic factors of PTG in patients with acute myocardial infarction.Methods Ninety-seven patients with acute myocardial infarction who were diagnosed and treated in Panzhihua Central Hospital from May 2014 to April 2016 were selected. One week before discharge, A face-to-face survey was conducted. Eight weeks after discharge, a questionnaire survey was conducted by telephone interview. The survey included PTGI, ECR, TAS-20, And Childhood Trauma Questionnaire (CTQ) were analyzed retrospectively.Results Of the 97 patients with acute myocardial infarction, 69 cases had PTG in stage 1, which was significantly higher than that in stage 2 (23.3%, P <0.05). There was only PTG in stage 1, (P <0.05). There was no significant difference in CTQ score between patients with positive PTSD symptoms and those with negative PTSD symptoms (P> 0.05). In PTGI and ECR patients with PTSD symptoms, attachment avoidance and attachment anxiety, TAS (P <0.05). Logistic regression analysis showed that there was a close relationship between PTG and ECR attachment anxiety scores and CTQ affection neglect scores in acute myocardial infarction patients (P <0.05) .Conclusion The patients with acute myocardial infarction were discharged Pre-deposit A higher level of growth after trauma and attachment anxiety levels in patients with post-traumatic higher levels of growth even higher, but emotional neglect in childhood experiences trauma patients after growing less affected.