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什么因素能预测自评健康:一项非心因性胸痛患者的横断面研究。

What Predict Self-rated Health: A Cross-sectional Study Among Men and Women with Non-cardiac Chest Pain.

机构信息

Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

J Clin Psychol Med Settings. 2023 Sep;30(3):618-627. doi: 10.1007/s10880-022-09916-2. Epub 2022 Oct 27.

Abstract

The study aimed to determine different lifestyle and clinical factors that predict self-rated health (SRH) in non-cardiac chest pain (NCCP) patients. In this cross-sectional study, 360 NCCP patients filled out questionnaires about depression, somatization, body sensation, type D personality, and pain intensity. In addition, participants' lifestyle and socio-demographic data were obtained. Multiple regression analyses revealed that among men, pain intensity (OR 1.07; 95% CI 1.03, 1.12), depression (3.10; 1.38, 9.18), somatization (1.18; 1.08, 1.29) and sleep quality (6.23; 1.42, 27.27) were associated with self-rated health. In women NCCP patients, depression (2.44; 1.05, 6.82) pain intensity (1.05; 1.01, 1.10), and physical activity (2.21; 1.07, 5.55) were associated with SRH. The results on the predicting factors of SRH in NCCP patients provide potential insights for more advanced clinical management of NCCP. In addition, they can be applied to improve health policies and promote healthy behaviors among NCCP patients.

摘要

本研究旨在确定不同的生活方式和临床因素对非心因性胸痛(NCCP)患者自评健康(SRH)的预测作用。在这项横断面研究中,360 名 NCCP 患者填写了关于抑郁、躯体化、身体感觉、D 型人格和疼痛强度的问卷。此外,还获得了参与者的生活方式和社会人口统计学数据。多因素回归分析显示,男性中疼痛强度(OR 1.07;95%CI 1.03,1.12)、抑郁(3.10;1.38,9.18)、躯体化(1.18;1.08,1.29)和睡眠质量(6.23;1.42,27.27)与自评健康相关。在女性 NCCP 患者中,抑郁(2.44;1.05,6.82)、疼痛强度(1.05;1.01,1.10)和体力活动(2.21;1.07,5.55)与 SRH 相关。这些关于 NCCP 患者自评健康预测因素的研究结果为 NCCP 的更高级临床管理提供了潜在的见解。此外,它们可以应用于改善 NCCP 患者的健康政策和促进健康行为。

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