No abstract

Aims We sought to explore the latent classifications of psychosocial adaptation in young and middle-aged patients with acute myocardial infarction (AMI) and analyze the characteristics of different profiles of AMI patients. Methods and results A cross-sectional study was performed in 438 Chinese young and middle-aged patients with AMI. The investigation time was 1 month after discharge. Three different self-report instruments were distributed to the participants, including the Psychosocial Adjustment to Illness Scale, the Perceived Stress Scale, and the Social Support Rating Scale. The 7 dimensions of the Psychosocial Adjustment to Illness Scale was then used to perform a latent profile analysis. All participants signed informed consent forms in accordance with the ethical principles of the Declaration of Helsinki. Finally, a total of 411 young and middle-aged AMI patients were enrolled. Three distinct profiles were identified, including the “well-adapted group” (44.8%), “highlight in psychological burdens group” (25.5%), and “poorly adapted group” (29.7%). The influencing factors included stress perception, social support, occupational type, and marital status (p < 0.05). Conclusion The psychosocial adaptation of young and middle-aged AMI patients can be divided into 3 profiles. Clinical nurses can carry out individualized psychological interventions according to the characteristics of patients in different potential profiles to improve the psychosocial adaptation of patients and the prognosis of their disease.