aThe Gordon Faculty of Social Sciences, School of Psychological Sciences bDepartment of Cardiology, Tel-Aviv Sourasky Medical Center, affiliated to the Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel *Shoshana Shiloh and Arie Steinvil contributed equally to this work.
J Cardiovasc Med (Hagerstown). 2014 Apr;15(4):336-42. doi: 10.2459/JCM.0b013e3283613925.
Percutaneous coronary intervention (PCI) may be perceived as a frightening experience. Some psychological factors are known correlates of recovery and rehabilitation of cardiac patients. Our objective was to investigate the emotional, cognitive and behavioral effects of patient guidance during their cardiac catheterization.
We performed a randomized trial comparing a patient group that was instructed while watching the monitor screen during their PCI (study group) and another group that was not (controls). Replies to questionnaires measuring emotional, cognitive and behavioral variables known to be associated with cardiac patients' health status, rehabilitation and quality of life were collected 1 day and 1 month after the procedure.
The study group included 57 patients and the control group included 51 patients. Most patients (∼87%) were men at the mean age of 60. They were well matched for reasons for referral to PCI. The study group reported less pain, a more positive affect, greater self-efficacy and stronger intentions to change health-related behaviors than the control group. At 1 month following the procedure, the study group evaluated their general health as significantly better, and reported a less negative affect, less cardiac anxiety, greater functional self-efficacy and more positive outcome expectancies regarding diet, and quitting smoking than the controls.
A simple adjustment in the standard PCI protocol can become a highly beneficial psychological intervention for enhancing patient outcomes.
经皮冠状动脉介入治疗（PCI）可能被视为一种可怕的体验。一些心理因素是已知的与心脏病人康复和恢复相关的因素。我们的目的是调查在心脏导管插入术期间对患者进行指导的情绪、认知和行为影响。
我们进行了一项随机试验，比较了一组在 PCI 期间观看监视器屏幕时接受指导的患者（研究组）和另一组未接受指导的患者（对照组）。在手术后 1 天和 1 个月收集了与心脏病人健康状况、康复和生活质量相关的情绪、认知和行为变量的问卷回复。
研究组包括 57 名患者，对照组包括 51 名患者。大多数患者（约 87%）为男性，平均年龄为 60 岁。他们因 PCI 就诊的原因相当匹配。与对照组相比，研究组报告的疼痛较少，积极情绪更强，自我效能感更强，改变健康相关行为的意愿更强。在手术后 1 个月，研究组对他们的总体健康状况评价明显更好，与对照组相比，他们的负面情绪更少，心脏焦虑更少，功能自我效能感更强，对饮食和戒烟的积极预期更高。
在标准 PCI 方案中进行简单的调整可以成为增强患者治疗效果的非常有益的心理干预措施。
