戴月 王玲

[摘要] 目的 探讨永久性心脏起搏器植入术患者的心理弹性水平并分析其影响因素。 方法 采用便利抽样法于2019年3—12月对江西省某三甲医院125例永久性心脏起搏器植入术住院或随访门诊的患者，运用心理弹性量表调查患者一般资料及心理弹性水平。通过多元线性回归分析法分析永久性心脏起搏器植入术患者心理弹性水平的相关影响因素。 结果 125例永久性心脏起搏器植入术患者的心理弹性总得分为（58.93±12.96）分，各维度得分从高到低分别为坚韧性、自强性、乐观性。年龄、文化程度、家庭月收入、子女情况、医疗费用支付方式、植入术时间是永久性心脏起搏器植入术患者心理弹性水平的影响因素（P < 0.05）。 结论 永久性心脏起搏器植入术患者心理弹性水平较低。在临床工作中应针对性采取不同科学有效的干预方案，提高患者心理弹性水平，促进患者身心康复。

[关键词] 永久性心脏起搏器植入术;心理弹性;相关因素

[中图分类号] R541          [文献标识码] A          [文章编号] 1673-7210（2020）07（c）-0062-04

Investigation of psychological resilience and analysis of related factors in patients with permanent cardiac pacemaker implantation

DAI Yue   WANG Ling

Department of Nursing， Jiangxi Health Vocational College， Jiangxi Province， Nanchang   330052， China

[Abstract] Objective To explore the psychological resilience and to analyze the influencing factors in patients with permanent cardiac pacemaker implantation. Methods From March to December 2019， a total of 125 patients with permanent cardiac pacemaker implantation or follow-up clinic in a top three hospital in Jiangxi Province were investigated by using the psychological resilience scale to investigate their general data and psychological resilience by convenience sampling method. Multiple linear regression analysis was used to analyze the related influencing factors of patients with permanent cardiac pacemaker implantation. Results The total scores of 125 patients with permanent cardiac pacemaker implantation were （58.93±12.96） points， and the scores of each dimension from high to low were toughness， self-reliance and optimism. Age， education level， monthly family income， children′s situation， payment methods of medical expenses， and implantation time were the influencing factors of psychological resilience in patients with permanent cardiac pacemaker implantation （P < 0.05）. Conclusion Patients with permanent cardiac pacemaker implantation have a low level of psychological resilience. In the clinical work， different scientific and effective intervention programs should be targeted to improve the patient′s level of psychological resilience and promote their physical and mental recovery.

[Key words] Cardiac pacemaker implantation; Psychological resilience; Related factors

永久性心臟起搏器植入术（permanent cardiac pacemaker implantation）是通过皮下埋植心脏起搏器，产生电脉冲经过起搏电极导线传送至心脏，激起心脏收缩和激动，治疗某些心律失常所引起的心脏功能障碍的一种方法[1]。近年来，心律失常、晚期心力衰竭等患者采用永久性心脏起搏器植入术治疗取得良好效果，减少患者病死率，对提高患者的生存质量起着积极作用。然而，永久性心脏起搏器植入术毕竟是一种有创性操作，对患者而言是重大的应激事件[2]。患者担心手术风险大、手术费用高及术后并发症发生严重等问题，引起患者焦虑、担忧和自责等负性情绪，严重时影响患者康复[3]。……