Wang Yan-Feng, Ke Qi-Qi, Zhou Xin-Yi, Xiong Jia-Ming, Li Yu-Mei, Yang Qiao-Hong
School of Nursing, Jinan University, Guangzhou, Guangdong, 510632, China.
Qingyuan People's Hospital, Qingyuan, Guangdong, 511500, China.
Heart Lung. 2023 Nov-Dec;62:145-151. doi: 10.1016/j.hrtlng.2023.07.003. Epub 2023 Jul 28.
AMI incidence in young and middle-aged patients is increasing year by year, and such patients are prone to negative emotions after illness, which affects health outcomes. However, post-traumatic growth can bring about positive changes in the patient, which is beneficial to their recovery.
This study aimed to understand the different types of post-traumatic growth characteristics and their related factors in young and middle-aged patients with acute myocardial infarction to help find precise intervention measures.
This was a cross-sectional study. Self-reported questionnaires were used to assess general demographic characteristics, post-traumatic growth, and rumination. The mean of the five dimensions of the Post-traumatic Growth Scale was used to perform a Latent profile analysis.
A total of 312 participants, including 285 male and 27 female patients, with the mean age was 51.95±5.75. Latent profile analysis results showed that three-profile model was the most suitable. Three different profiles were named: the "Malgrowth group" (45.51%), the "Good growth group" (18.91%), and the "Excellent growth group" (35.58%). The related factors included rumination, age, monthly income, whether to return to work, marital status, residential address, classification of disease, and whether to perform PCI treatment (P<0.05).
According to our results, the post-traumatic growth of young and middle-aged AMI patients can be divided into three profiles, and targeted intervention can be carried out for patients according to the determined patient profiles.
中青年急性心肌梗死(AMI)发病率逐年上升,此类患者患病后易产生负性情绪,影响健康结局。然而,创伤后成长可给患者带来积极改变,有利于其康复。
本研究旨在了解中青年急性心肌梗死患者创伤后成长的不同类型特征及其相关因素,以帮助寻找精准干预措施。
本研究为横断面研究。采用自填式问卷评估一般人口学特征、创伤后成长及沉思。采用创伤后成长量表五个维度的均值进行潜在剖面分析。
共纳入312例参与者,其中男性285例,女性27例,平均年龄为51.95±5.75岁。潜在剖面分析结果显示,三剖面模型最为合适。三种不同剖面分别命名为:“不良成长组”(45.51%)、“良好成长组”(18.91%)和“优秀成长组”(35.58%)。相关因素包括沉思、年龄、月收入、是否复工、婚姻状况、居住地址、疾病分类以及是否行PCI治疗(P<0.05)。
根据研究结果,中青年急性心肌梗死患者的创伤后成长可分为三种剖面,可根据确定的患者剖面为患者实施针对性干预。