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心血管疾病住院患者的状态焦虑、特质焦虑与失眠

State, Trait Anxiety and Insomnia in Hospitalized Patients With Cardiovascular Disease.

作者信息

Aroniada Panagiota, Gerogianni Georgia, Stamou Angeliki, Zaka Maria, Tsoulou Vasiliki, Tsami Athanasia, Chamodraka Eftyhia, Poulimenos Leonidas, Polikandrioti Maria

机构信息

Student at Postgraduate Program (MSc) "Applied Clinical Nursing", University of West Attica, Greece.

Department of Nursing University of West Attica, Greece.

出版信息

Acta Inform Med. 2025;33(2):129-134. doi: 10.5455/aim.2025.33.129-134.

Abstract

BACKGROUND

Hospitalized patients experience significant physical, emotional burden mainly due to a wide range of stressors, related to the hospital environment and their disease including the procedures they undergo.

OBJECTIVE

was to explore prevalence of anxiety and insomnia in hospitalized patients with cardiovascular disease and the associated factors with anxiety.

METHODS

In the present cross-sectional study were enrolled were enrolled 140 hospitalized patients with cardiovascular disease. The data collection was carried out via interviews using the "State-Trait Anxiety Inventory (STAI)" scale and the "Athens Insomnia scale AIS" which included patients' characteristics.

RESULTS

Regarding state and trait anxiety, half of participants scored below 43 and 49 respectively (median), while 25% scored above 52 and 53, respectively. These values indicate moderate levels of anxiety. Regarding insomnia, at least 50% of patients scored below 6 (median). These values indicate moderate levels of insomnia. The correlation between patients' anxiety and insomnia was positive linear (rho>0.2, p<0.05), meaning that an increase in the insomnia score implies an increase in the state and trait anxiety score (more anxiety). State anxiety was found to be statistically significantly related to family status (p=0.008), occupation (p=0.005), type of disease (p=0.048), and whether they suffered from other disease (p=0.005). Trait anxiety was found to be statistically significantly associated only with marital status (p=0.043).

CONCLUSION

Improving mental health of hospitalized patients in a general hospital requires the attention by clinical health professionals. Knowledge of the association between insomnia and anxiety in hospitalized patients with cardiovascular diseases is important for identifying potential high-risk groups and implementing interventions to alleviate this burden.

摘要

背景

住院患者主要由于与医院环境及其疾病相关的各种压力源,包括他们所接受的治疗程序,经历着巨大的身体和情感负担。

目的

探讨心血管疾病住院患者焦虑和失眠的患病率以及与焦虑相关的因素。

方法

在本横断面研究中,纳入了140例心血管疾病住院患者。通过使用“状态-特质焦虑量表(STAI)”和“雅典失眠量表AIS”进行访谈来收集数据,其中包括患者的特征。

结果

关于状态焦虑和特质焦虑,一半的参与者分别得分低于43分和49分(中位数),而25%的参与者分别得分高于52分和53分。这些值表明焦虑水平为中度。关于失眠,至少50%的患者得分低于6分(中位数)。这些值表明失眠水平为中度。患者的焦虑与失眠之间呈正线性相关(rho>0.2,p<0.05),这意味着失眠得分的增加意味着状态焦虑和特质焦虑得分的增加(焦虑加剧)。发现状态焦虑与家庭状况(p=0.008)、职业(p=0.005)、疾病类型(p=0.048)以及是否患有其他疾病(p=0.005)在统计学上显著相关。特质焦虑仅与婚姻状况在统计学上显著相关(p=0.043)。

结论

综合医院改善住院患者的心理健康需要临床健康专业人员的关注。了解心血管疾病住院患者失眠与焦虑之间的关联对于识别潜在的高危人群以及实施减轻这种负担的干预措施非常重要。

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