Study on the status and influencing factors of ruminant meditation in patients with secondary percutaneous coronary intervention

doi:10.3877/cma.j.issn.2095-6568.2023.04.007

Abstract

Abstract:

Objective

To explore the level of ruminant meditation and its influencing factors in patients with coronary heart disease (CHD) after secondary percutaneous coronary intervention.

Methods

From September 2019 to June 2021, patients with CHD who were hospitalized in The First Affiliated Hospital of Nanjing Medical University for reintervention were selected. A cross-sectional survey of target patients was conducted using the Social Demographic Questionnaire, the Connor-Davidson Resilience Scale and the Rumination Questionnaire. Multiple linear regression analysis was used to analyze the influencing factors of rumination.

Results

A total of 106 patients with CHD who underwent reintervention were included. The age was (53.55±9.61) years old, and 56.60% (60/106) were males. The score of purposive rumination was (13.18±6.65), and the score of invasive rumination was (16.67±5.75). Multiple linear regression analysis showed that the patients' interests and psychological resilience explained 19.6% of intrusive rumination, and personal monthly income and psychological resilience explained 38.2% of purposeful rumination.

Conclusion

The level of rumination in patients with CHD after reintervention is at a medium level and more inclined to invasive rumination. We should pay attention to the negative psychological impact of reintervention on patients with CHD, formulate corresponding measures to improve the psychological resilience level of patients with CHD after reintervention and adjust their coping style.

Key words: Coronary heart disease, Secondary percutaneous coronary intervention, Rumination, Resilience, Influencing factor

Dongmei Xu, Li Sun, Lan Wei, Shiyin Zhai, Xinyue Zhang. Study on the status and influencing factors of ruminant meditation in patients with secondary percutaneous coronary intervention[J]. Chinese Journal of Heart and Heart Rhythm(Electronic Edition), 2023, 11(04): 230-234.

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References 24

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项目	例数	侵入性反刍性沉思	P	目的性反刍性沉思	P
性别			0.569		0.104
女	46	16.30±5.84		11.98±7.44
男	60	16.95±5.72		14.10±5.87
年龄（岁）			0.016		0.502
≤60	43	18.40±6.64		12.65±7.19
>60	63	15.49±4.77		13.54±6.29
婚姻			0.558		0.261
有配偶	83	16.84±5.91		12.80±7.00
无配偶	23	16.04±5.22		14.57±5.12
宗教信仰			0.011		<0.001
有	36	14.89±4.37		17.92±4.89
无	70	17.59±6.18		10.74±6.12
兴趣爱好			0.038		0.060
有	48	15.27±5.62		11.85±6.87
无	58	17.83±5.65		14.28±6.31
文化程度			0.008		0.545
小学及以下	31	17.77±6.61		14.00±8.10
初高中	45	17.73±5.11		13.31±5.72
专科及以上	30	13.93±4.93		12.13±6.38
月收入（元）			0.068		0.005
<5 000	35	15.31±5.18		11.31±6.86
5 000～10 000	42	16.45±5.46		12.45±5.92
>10 000	29	18.62±5.75		16.48±6.40
居住地			0.394		0.014
农村	38	15.95±6.14		11.03±6.29
城镇	67	16.94±5.46		14.33±6.62
再次PCI间隔时长（年）			0.042		0.147
<5	23	18.09±6.71		12.09±7.85
5～15	32	17.97±5.30		11.88±6.47
>15	51	15.22±5.30		14.49±6.04
伴随疾病			0.414		0.026
有	69	16.33±5.80		12.13±6.39
无	37	17.30±5.69		15.14±6.77
心功能（NYHA分级）			0.319		0.204
Ⅰ级	29	17.03±5.97		14.59±7.06
Ⅱ级	61	17.02±5.97		13.10±6.64
Ⅲ级	16	14.69±4.84		10.94±5.58
首次介入病变血管数			0.231		0.995
1支	57	16.11±5.71		13.12±7.16
2支	45	17.04±5.81		13.20±5.99
3支	4	20.50±5.20		13.75±8.06
再介入病变血管数			0.029		0.110
1支	73	15.79±5.04		12.84±6.17
2支	29	19.10±6.21		14.79±6.94
3支	4	15.00±10.49		7.75±10.84

项目	例数	侵入性反刍性沉思	P	目的性反刍性沉思	P
性别			0.569		0.104
女	46	16.30±5.84		11.98±7.44
男	60	16.95±5.72		14.10±5.87
年龄（岁）			0.016		0.502
≤60	43	18.40±6.64		12.65±7.19
>60	63	15.49±4.77		13.54±6.29
婚姻			0.558		0.261
有配偶	83	16.84±5.91		12.80±7.00
无配偶	23	16.04±5.22		14.57±5.12
宗教信仰			0.011		<0.001
有	36	14.89±4.37		17.92±4.89
无	70	17.59±6.18		10.74±6.12
兴趣爱好			0.038		0.060
有	48	15.27±5.62		11.85±6.87
无	58	17.83±5.65		14.28±6.31
文化程度			0.008		0.545
小学及以下	31	17.77±6.61		14.00±8.10
初高中	45	17.73±5.11		13.31±5.72
专科及以上	30	13.93±4.93		12.13±6.38
月收入（元）			0.068		0.005
<5 000	35	15.31±5.18		11.31±6.86
5 000～10 000	42	16.45±5.46		12.45±5.92
>10 000	29	18.62±5.75		16.48±6.40
居住地			0.394		0.014
农村	38	15.95±6.14		11.03±6.29
城镇	67	16.94±5.46		14.33±6.62
再次PCI间隔时长（年）			0.042		0.147
<5	23	18.09±6.71		12.09±7.85
5～15	32	17.97±5.30		11.88±6.47
>15	51	15.22±5.30		14.49±6.04
伴随疾病			0.414		0.026
有	69	16.33±5.80		12.13±6.39
无	37	17.30±5.69		15.14±6.77
心功能（NYHA分级）			0.319		0.204
Ⅰ级	29	17.03±5.97		14.59±7.06
Ⅱ级	61	17.02±5.97		13.10±6.64
Ⅲ级	16	14.69±4.84		10.94±5.58
首次介入病变血管数			0.231		0.995
1支	57	16.11±5.71		13.12±7.16
2支	45	17.04±5.81		13.20±5.99
3支	4	20.50±5.20		13.75±8.06
再介入病变血管数			0.029		0.110
1支	73	15.79±5.04		12.84±6.17
2支	29	19.10±6.21		14.79±6.94
3支	4	15.00±10.49		7.75±10.84

项目	心理韧性总分	坚韧	自强	乐观
目的性反刍性沉思	0.482^a	0.461^a	0.478^a	0.500^a
侵入性反刍性沉思	-0.422^a	-0.430^a	-0.399^a	-0.325^a

项目	心理韧性总分	坚韧	自强	乐观
目的性反刍性沉思	0.482^a	0.461^a	0.478^a	0.500^a
侵入性反刍性沉思	-0.422^a	-0.430^a	-0.399^a	-0.325^a

因变量	变量	B	标准化β	t	P
目的性反刍性沉思	常数	5.000	-		0.010
	>1万元	1.558	0.315	3.457	0.001
	心理韧性	0.080	0.347	3.212	0.002
侵入性反刍性沉思	常数	22.104	-	11.801	0.000
侵入性反刍性沉思	心理韧性	-0.065	-0.328	-2.387	0.019

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