A型主动脉夹层患者术后心理一致感与家庭功能的相关性
Correlation Between Post-operative Sense of Coherence and Family Function in Patients With Type A Aortic Dissection.
作者信息
Zhang Xiaomin, Chen Juan, Zang Yaning
机构信息
Department of Cardiothoracic Surgery, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
The Third School of Clinical Medicine, Nanjing Medical University, Nanjing, China.
出版信息
Front Surg. 2022 Apr 14;9:857219. doi: 10.3389/fsurg.2022.857219. eCollection 2022.
OBJECTIVE
To analyze the relationship between post-operative sense of coherence and family function in patients with type A aortic dissection (AD).
METHODS
Ninety patients with AD treated from January 2019 to December 2020 were selected as the research subjects. All patients received surgical treatments. Two weeks after the operation, the Sense of Coherence Scale (SOC-13) and Family APGAR index scale (APGAR) were used to evaluate the patients' sense of coherence and family function. Baseline data of all patients were collected, the SOC-13 scores of patients with type A AD with different demographic characteristics were compared, and the relationship between family function and patients' sense of coherence was analyzed.
RESULTS
The ninety patients with type A AD had a low level of psychological consistency, and the average SOC-13 score was 49.84 ± 3.89 points. The SOC-13 score of patients with type A AD with family monthly incomes <5,000 yuan and moderate and severe family dysfunction was lower than that of patients with family monthly incomes ≥5,000 yuan and good family function. The difference was statistically significant ( < 0.05). There was no statistically significant difference in the SOC-13 scores of patients with type A AD with different demographic characteristics ( > 0.05). The results of multiple linear regression analysis showed that family monthly income <5,000 yuan and moderate and severe family dysfunction might be general influencing factors of sense of coherence among patients with type A AD ( < 0.05). Y = 43.333 + 6.667X + 16.730X was obtained.
CONCLUSION
The post-operative sense of coherence of patients with type A AD may be affected by family function.
目的
分析A型主动脉夹层（AD）患者术后心理一致感与家庭功能的关系。
方法
选取2019年1月至2020年12月收治的90例AD患者作为研究对象。所有患者均接受手术治疗。术后两周，采用心理一致感量表（SOC-13）和家庭功能APGAR指数量表（APGAR）评估患者的心理一致感和家庭功能。收集所有患者的基线资料，比较不同人口学特征的A型AD患者的SOC-13得分，并分析家庭功能与患者心理一致感的关系。
结果
90例A型AD患者心理一致感水平较低，SOC-13平均得分为49.84±3.89分。家庭月收入<5000元且家庭功能中度和重度障碍的A型AD患者的SOC-13得分低于家庭月收入≥5000元且家庭功能良好的患者。差异有统计学意义（<0.05）。不同人口学特征的A型AD患者的SOC-13得分差异无统计学意义（>0.05）。多元线性回归分析结果显示，家庭月收入<5000元且家庭功能中度和重度障碍可能是A型AD患者心理一致感的一般影响因素（<0.05）。得到方程Y = 43.333 + 6.667X + 16.730X。
结论
A型AD患者术后心理一致感可能受家庭功能的影响。
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