疼痛心理弹性在急性胸痛患者疼痛与心因性焦虑间的中介效应OA

Objective To explore the correlation between pain psychological resilience,pain and psychogenic anxiety in patients with acute chest pain,and to further analyze the mediating effect of pain psychological resilience between pain and psychogenic anxiety.Methods A total of 354 patients with acute chest pain who were treated in Yingtan People's Hospital from January 2023 to June 2025 were selected as the research objects by the convenient sampling method.The general clinical data of the patients were collected on admission,and the patients were investigated with the pain resilience scale(PRS),visual analogue scale(VAS)and cardiac anxiety questionnaire(CAQ).Pearson correlation method was used to ana-lyze the correlation between PRS,VAS and CAQ scores,and single factor analysis and multiple linear regression analysis were used to explore the influencing factors of psychogenic anxiety.Amos 21.0 software was used to establish the structural equation model to analyze the mediating effect of pain psychological resilience between pain and psychogenic anxiety in patients with acute chest pain.Results Among 354 questionnaires,320 were effectively recovered,with an effective recovery rate of 90.40％.The VAS score of 320 patients with acute chest pain was(6.42±1.78)points,the PRS score was(32.51±7.37)points,and the CAQ score was(28.13±8.75)points.The results of univariate analysis showed that there were statisti-cally significant differences in CAQ scores of patients with different ages,education levels,family monthly income per capi-ta,occupational status,and number of pain attacks(P＜0.05).Pearson correlation analysis showed that the degree of pain was negatively correlated with pain psychological resilience(r＜0,P＜0.05),positively correlated with psychogenic anxiety(r＞0,P＜0.05),and pain psychological resilience was negatively correlated with psychogenic anxiety(r＜0,P＜0.05).Mul-tiple linear regression analysis showed that VAS score(B=1.824,β=0.371,95％CI:1.429-2.219)and PRS score(B=-0.688,β=-0.579,95％CI:-0.783--0.592)were the independent influencing factors of psychogenic anxiety in patients with acute chest pain(P＜0.05).The structural equation model was constructed and analyzed.The results showed that pain psychologi-cal resilience had a partial mediating effect between acute chest pain and psychogenic anxiety.The indirect effect value of pain-pain psychological resilience and psychogenic anxiety was 2.650,accounting for 58.27％of the total effect value.Con-clusion The degree of pain in patients with acute chest pain can directly affect the psychogenic anxiety of patients,and the degree of pain can also indirectly affect the psychogenic anxiety of patients through the mediating effect of pain psychological resilience.It suggests that in addition to conventional pain control,medical staff can also start from the pain psychological resilience,through appropriate psychological counseling and emotional management to maintain a stable psychological state,so as to reduce the psychogenic anxiety.