患有多血管冠状动脉疾病的患者中抑郁,性和疲劳之间的关联:一个交叉滞后研究
Binbin Sun1, Jing Han2, Beibei Tian1
1Nursing and Rehabilitation College, North China University of Science and Technology, Tangshan, Hebei, China.
International journal of nursing sciences
|April 17, 2025
概括
在患有多血管冠状动脉疾病的患者中,抑郁和性会随着时间的推移显著影响疲劳水平. 针对抑郁症和增强性的早期干预对于这些患者的疲劳管理至关重要.
科学领域:
- 心脏病学 心脏病学
- 心理学 心理学 心理学
- 卫生科学 卫生科学 卫生科学
背景情况:
- 多血管冠状动脉疾病 (MVD) 显著影响患者的生活质量.
- 抑郁,性和疲劳是MVD患者常见的心理和身体症状.
- 了解这些因素之间的相互作用对于有效的患者管理至关重要.
研究的目的:
- 研究MVD患者的抑郁,性和疲劳之间的关联.
- 为了验证抑郁,弹性和疲劳之间的时间因果关系.
- 探索恢复力对抑郁和疲劳关系的缓解作用.
主要方法:
- 一项纵向研究涉及316名从三所三级医院招募的MVD患者.
- 数据是在三个时间点收集的:录取 (T1),核准后一个月 (T2) 和核准后三个月 (T3).
- 使用了患者健康问卷,康纳-戴维森弹性量表,多维疲劳库存,皮尔森相关性和交叉滞后分析.
主要成果:
- 抑郁和疲劳水平下降,而弹性从T1增加到T3.3.
- 在所有时间点中,在抑郁症,性和疲劳之间发现了显著的相关性.
- 在T1和T2的抑郁症显著预测了分别在T2和T3的疲劳.
- 在T1和T2的弹性显著预测了分别在T2和T3的疲劳.
- 恢复力在抑郁和疲劳之间的关系上表现出显著的缓解效应.
结论:
- 抑郁和性是MVD患者疲劳的重要预测因素.
- 缓解抑郁症症状和在疾病过程的早期增强性对于减轻疲劳至关重要.
- 这些发现凸显了MVD患者综合心理和康复干预的重要性.
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