Poliwczak Adam Rafal, Funt Danuta, Broncel Marlena
Department of internal Diseases and Clinical Pharmacology, Medical University of Lodz, Poland.
Department of Interventional Cardiology, Gierz Cardiology Center, MED-PRO, Poland.
Pol Merkur Lekarski. 2013 Oct;35(208):202-4.
Coronary heart disease is now the leading cause of death in the world and in Poland. Every year, the acute coronary syndromes (ACS) falls over a hundred thousand people, of whom the vast majority are treated invasively. Percutaneous coronary intervention (PCI) carries a possible complication. The possibility of their occurrence is one of the reasons to feel fear and discomfort prior to the study.
Was to assess of the level of discomfort and anxiety experienced by those undergoing percutaneous coronary intervention.
The study included 100 consecutive patients undergoing percutaneous coronary intervention for ACS or stable angina. The research method used in the survey was a questionnaire form, includes a total of 23 questions. The survey was carried out 24 hours after the execution diagnostic procedure or therapy.
PCI was performed significantly more often with radial access--65%, than femoral--35%. People undergo PCI in 77% had knowledge of it. The main source of information was the hospital staff (48%), GPs (20%) and to a lesser extent, the Internet (16%) and friends (12%). To assess the discomfort uses a linear scale of points. Depending on the vascular access was obtained an average of 5.7 points for radial access and 8.8 points for femoral access, corresponding to moderate and very large intensity of discomfort. The degree of discomfort was lower (42%) or compatible (27%) of the representations before the treatments. The intensity of the perceived fear determined the 53% of the very large, and 21% as large. On average, a 10-point scale, respondents have identified him at 7.9 points. Significantly negatively correlated on the level of education (r = -0.421, P < 0.05) and with the degree of knowledge of the declared procedure (r = -0.519, P < 0.01) and positively correlated with the intensity of reported discomfort (r = 0.497 p < 0.05).
Reducing discomfort and anxiety in patients undergoing PCI is very important. This affects the success of the procedure and for appropriate treatment and rehabilitation. Active detection of factors affecting these phenomena and their reduction should be one of the tasks of the personnel involved in the treatment. It is necessary to proper education, including get familiar with the methods of endovascular interventions.
冠心病目前是全球及波兰的首要死因。每年，急性冠脉综合征（ACS）致使超过十万人患病，其中绝大多数接受侵入性治疗。经皮冠状动脉介入治疗（PCI）存在可能的并发症。其发生的可能性是患者在检查前感到恐惧和不适的原因之一。
评估接受经皮冠状动脉介入治疗患者的不适程度和焦虑水平。
该研究纳入了100例因ACS或稳定型心绞痛接受经皮冠状动脉介入治疗的连续患者。调查采用的研究方法为问卷形式，共包含23个问题。调查在执行诊断程序或治疗24小时后进行。
经桡动脉途径进行PCI的比例显著高于经股动脉途径，分别为65%和35%。77%接受PCI的患者了解该治疗方法。主要信息来源是医院工作人员（48%）、全科医生（20%），其次是互联网（16%）和朋友（12%）。采用线性评分量表评估不适程度。根据血管入路情况，经桡动脉途径的平均评分为5.7分，经股动脉途径为8.8分，分别对应中度和非常强烈的不适程度。治疗前预期的不适程度较低（42%）或相当（27%）。感知到的恐惧强度为非常强烈的占53%，强烈的占21%。平均而言，在10分制量表上，受访者将其评为7.9分。恐惧水平与教育程度显著负相关（r = -0.421，P < 0.05），与所声明治疗程序的了解程度显著负相关（r = -0.519，P < 0.01），与报告的不适强度显著正相关（r = 0.497，P < 0.05）。
减轻接受PCI患者的不适和焦虑非常重要。这影响到治疗程序的成功以及适当的治疗和康复。积极检测影响这些现象的因素并加以减少应是参与治疗的人员的任务之一。进行适当的教育很有必要，包括熟悉血管内介入治疗方法。
