Analysis of fear of disease progression in patients with coronary heart disease and its influencing factors
冠心病患者恐惧疾病进展现状及其影响因素分析

摘要

目的 了解某三甲医院的住院冠心病患者恐惧疾病进展现状及其影响因素分析。方法 抽取2022年5月—8月在某三级甲等医院的158例冠心病住院患者，使用一般资料表、恐惧疾病进展量表（FOP⁃Q⁃SF）、冠状动脉疾病教育问卷简版（CADE-QSV）进行调查。结果 冠心病患者恐惧疾病进展总得分为（28.02±7.42）分，其中31例（19.6%）冠心病患者恐惧疾病进展得分≥34分。多元线性回归分析结果显示：冠状动脉药物疾病知识、心理风险知识是冠心病患者恐惧疾病进展的影响因素，可解释冠心病患者恐惧疾病进展的43%。结论 冠心病住院的患者对于恐惧疾病进展的相关影响因素中，我们发现冠心病患者在日常护理的基础上，如果加强对患者的心理护理，会更加有利于减少患者的焦虑、抑郁等情绪，对促进患者的身心康复，提高临床的护理满意度有非常大的提升。

Abstract

Objective To understand the current status and influencing factors of fear of disease progression among hospitalized coronary heart disease patients in a tertiary hospital. Method A total of 158 hospitalized patients with coronary heart disease in a tertiary hospital from May to August 2022 were selected, and a survey was conducted using the General Information Form, the Fear of Disease Progress Scale (FOP ⁃Q ⁃ SF), and the Coronary Artery Disease Education Questionnaire (CADE-QSV). The total score of fear of disease progression in patients with coronary heart disease was (28.02 ± 7.42) points, of which 31 cases (19.6%) had a fear of disease progression score ≥ 34 points. The results of multiple linear regression analysis show that knowledge of coronary artery drug disease and psychological risk are influencing factors for fear of disease progression in coronary heart disease patients, which can explain 43% of the fear of disease progression in coronary heart disease patients.
Conclusion   Among the relevant influencing factors of fear of disease progression in hospitalized patients with coronary heart disease, we found that strengthening psychological care for patients with coronary heart disease on the basis of daily care will be more conducive to reducing their anxiety, depression and other emotions, promoting their physical and mental recovery, and improving clinical nursing satisfaction.