肖莺莺

【摘要】 目的：探究病程及文化程度对冠心病患者希望水平与主观幸福感的影响。方法：选取2017年12月-2019年10月笔者所在医院收治的60例冠心病患者为观察组，同时期的60例健康者为对照组。比较两组希望水平及主观幸福感。并比较观察组不同病程及文化程度患者希望水平及主观幸福感。结果：观察组希望水平及主观幸福感评分均显著低于对照组，差异有统计学意义（P<0.05）。观察组不同病程及文化程度患者希望水平及主观幸福感评分比较，差异有统计学意义（P<0.05）。结论：病程及文化程度对冠心病患者希望水平与主观幸福感的影响较大，应重视对冠心病患者上述方面的干预。

【关键词】 病程 文化程度 冠心病 希望水平 主观幸福感

[Abstract] Objective： To investigate the influence of disease course and education degree on the hope level and subjective well-being of patients with coronary heart disease. Method： A total of 60 patients with coronary heart disease admitted in our hospital from December 2017 to October 2019 were selected as the observation group，and 60 health persons at the same time were selected as the control group. The hope level and subjective well-being of the two groups were compared. The hope level and subjective well-being of patients with different disease course and education degree were compared in the observation group. Result： The hope level and subjective well-being score of the observation group were significantly lower than those of the control group， the differences were statistically significant （P<0.05）. In the observation group， there were statistically significant differences between the hope level and subjective well-being score of patients with different disease course and educational degree， the differences were statistically significant （P<0.05）. Conclusion： The course of disease and the degree of education have a great influence on the hope level and subjective well-being of patients with coronary heart disease. Attention should be paid to the above aspects in patients with coronary heart disease.

冠心病是臨床高发病，与本病相关的研究显示，患者的生存状态受多方面因素影响，处于较差的状态，而希望水平及主观幸福感是在本类患者中相对较差，而随着相关要求的不断提升，冠心病患者的希望水平与主观幸福感改善需求也不断升高，因此对上述两方面的影响因素也成为临床研究的重点[1]。本研究就病程及文化程度对冠心病患者希望水平与主观幸福感的影响进行探究，现将结果报道如下。

1 资料与方法

1.1 一般资料

选取2017年12月-2019年10月笔者所在医院收治的60例冠心病患者为观察组，同时期的60例健康者为对照组。纳入标准：20～75岁;男女不限。排除标准：合并慢性疾病者;妊娠期与哺乳期者;文盲者;合并创伤或感染者。对照组中男33例，女27例;年龄40～75岁，平均（61.9±6.6）岁;文化程度：初中及以下25例，中专及高中20例，大专及以上15例。观察组中男32例，女28例;年龄41～75岁，平均（62.1±6.5）岁;病程：<5年19例，5～10年22例，>10年19例;文化程度：初中及以下25例，中专及高中19例，大专及以上16例。两组一般资料比较，差异无统计学意义（P>0.05），有可比性。本……