使用心理,医学和人口统计学因素解读"疼痛到门"间隔:一个多中心研究
Hamidreza Roohafza1, Feridoun Noohi2, Sara Bagherieh3
1Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
PloS one
|June 30, 2025
概括
减少心肌梗塞疼痛到门的时间至关重要. 男性患者和患有心痛病史的人间隔较短,而健康焦虑,抑郁病史,高社会经济地位和连贯感与较长的延迟有关.
科学领域:
- 心脏病学 心脏病学
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 在心肌梗塞 (MI) 中的"疼痛到门"间隔对于患者的结果至关重要.
- 识别影响此间隔的因素对于及时获得医疗保健至关重要.
研究的目的:
- 调查与心脏病发作患者疼痛到门间隔相关的心理,医学和人口因素.
- 了解这些因素如何影响从症状发作到医院抵达的时间.
主要方法:
- 对1685名参与者在为期3年的多中心队列研究中的基线数据的分析.
- 利用验证的问卷来评估社会人口统计因素,抑郁症,健康焦虑,个性,连贯感,应对能力和生活质量.
- 统计分析包括p值和危险比率计算.
主要成果:
- 男性性别 (HR:0.81) 和心痛史 (HR:0.82) 与疼痛到门的时间更短有关.
- 健康焦虑 (HR: 1.27),抑郁病史 (HR: 1.57),高社会经济地位 (HR: 1.25) 和连贯感 (HR: 1.34) 与更长的疼痛到门的时间有关.
- 糖尿病史显示边际关联 (p=0.059) 与较短的间隔.
结论:
- 个人,社会和经济特征显著影响心脏病发作中疼痛到门的间隔.
- 查高风险个体,教育公众和医疗保健提供者了解这一间隔的重要性是优先事项.
- 解决这些因素可以帮助减轻心血管疾病 (CVD) 的影响.
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