摘要
目的研究冠心病经皮冠状动脉介入治疗(PCI)术后患者焦虑抑郁的影响因素,为患者心理干预提供理论依据。方法本研究为横断面研究。采用便利抽样法,选取2021年11月—2022年3月在武汉大学中南医院心血管内科就诊的150例冠心病PCI术后患者为研究对象。应用一般资料调查问卷、焦虑自评量表(SAS)、抑郁自评量表(SDS)、社会支持评定量表(SSRS)对患者进行调查。采用Pearson相关分析探讨冠心病PCI术后患者焦虑、抑郁水平与社会支持水平之间的关系。结果150例冠心病PCI术后患者社会支持总分为31.0(28.0,36.0)分,其中焦虑者33例(22.0%,33/150),抑郁者47例(31.3%,47/150),同时存在焦虑和抑郁者27例(18%,27/150)。Pearson相关性分析显示,冠心病PCI术后患者SSRS总分及各维度得分与SAS、SDS得分均呈负相关(P<0.05)。结论冠心病PCI术后患者易出现焦虑、抑郁心理,医护人员在关注患者躯体疾病的同时,应更多关注患者的心理状况,及早发现负性情绪并给予针对性的干预和治疗。
Objective To explore the influencing factors of anxiety and depression in patients with coronary heart disease after percutaneous coronary intervention(PCI),so as to provide theoretical basis for psychological intervention.Methods This study was a cross-sectional study.From November 2021 to March 2022,150 patients with coronary heart disease after PCI were selected from the Department of Cardiovascular,Zhongnan Hospital of Wuhan University by convenience sampling.The patients were investigated with the General Information Questionnaire,Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)and Social Support Rating Scale(SSRS).Pearson correlation was used to explore the relationship among anxiety,depression and social support in patients with coronary heart disease after PCI.Results Among 150 patients with coronary heart disease after PCI,the total score of social support was 31.0(28.0,36.0),including 33 cases of anxiety(33/150,22.0%),47 cases of depression(47/150,31.3%),and 27 cases of anxiety and depression(27/150,18%).Pearson correlation analysis showed that the total score and each dimension score of SSRS of patients with coronary heart disease after PCI were negatively correlated with SAS and SDS scores(P<0.05).Conclusions Patients with coronary heart disease after PCI are prone to anxiety and depression.While paying attention to patients'physical diseases,medical and nursing staff should pay attention to patients'psychological conditions,find negative emotions as early as possible and give targeted intervention and treatment.
作者
何玮琳
祝颖
熊维
柴玉琼
He Weilin;Zhu Ying;Xiong Wei;Chai Yuqiong(Department of Cardiovascular,Zhongnan Hospital of Wuhan University,Wuhan 430071,China;Respiratory and Intensive Care Unit,Zhongnan Hospital of Wuhan University,Wuhan 430071,China)
出处
《中华现代护理杂志》
2022年第35期4958-4962,共5页
Chinese Journal of Modern Nursing
关键词
冠心病
经皮冠状动脉介入术后
焦虑
抑郁
社会支持
Coronary disease
Percutaneous coronary intervention
Anxiety
Depression
Social support
