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经皮冠状动脉介入治疗后冠心病患者负面情绪及相关影响因素调查

Investigation of the Negative Emotions Exhibited in Patients with Coronary Heart Disease After PCI and Any Influencing Factors.

作者信息

Yang Xiao-Li, Xie Wen-Yao, Cai Yi-Min, Tang Hong-Ying, Tao Mei-Yi, Shen Zhou-Min, Chen Hong-Jiao

机构信息

Department of Liver Surgery, Hunan Provincial People's Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha, 410005, People's Republic of China.

Interventional Operating Room, Hunan Provincial People's Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha, 410005, People's Republic of China.

出版信息

Psychol Res Behav Manag. 2022 Oct 17;15:3027-3037. doi: 10.2147/PRBM.S379422. eCollection 2022.

DOI:10.2147/PRBM.S379422
PMID:36281272
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9587531/
Abstract

PURPOSE

To understand existing negative emotions in patients with coronary heart disease after percutaneous coronary stent implantation (PCI) and analyse its influencing factors.

METHODS

Patients with coronary heart disease after PCI in three tertiary hospitals in Changsha City from April to September 2018 were selected as the research subjects. The self-designed general information questionnaire assessed irritability, depression and anxiety (IDA) on a self-rating scale. It was used to examine patients' existing negative emotions with coronary heart disease after PCI and analyse the influencing factors.

RESULTS

203 questionnaires were distributed, and 202 valid questionnaires were recovered, with an effective recovery rate of 99.5%. The IDA score of patients with coronary heart disease after PCI was 17.01±7.60 points, the incidence of negative emotions was 63.8%, and the incidences of depression, anxiety and irritability were 39.6%, 8.4% and 15.8%, respectively. Negative emotion was taken as the dependent variable and a patient's general data, such as lifestyle and disease, as the independent variables. A univariate analysis was conducted to obtain gender, age, educational level, marital status, work status, per capita monthly household income, sleep status, etc. Seven factors were identified as the influencing factors of negative emotions in patients with coronary heart disease after PCI, and the difference was statistically significant (P<0.05).

CONCLUSION

Most patients with coronary heart disease after PCI tend to exhibit negative emotions such as anxiety and depression. Medical staff should attach great importance to evaluating any negative feelings in this group and take timely targeted intervention measures to prevent and mitigate the occurrence and development of these adverse emotions in patients with coronary heart disease after PCI.

摘要

目的

了解经皮冠状动脉支架植入术(PCI)后冠心病患者存在的负面情绪,并分析其影响因素。

方法

选取2018年4月至9月长沙市3家三级医院PCI术后的冠心病患者作为研究对象。采用自行设计的一般资料问卷,通过自评量表评估易激惹、抑郁和焦虑(IDA)情况。以此检查PCI术后冠心病患者存在的负面情绪,并分析影响因素。

结果

共发放问卷203份,回收有效问卷202份,有效回收率为99.5%。PCI术后冠心病患者的IDA评分为17.01±7.60分,负面情绪发生率为63.8%,抑郁、焦虑和易激惹的发生率分别为39.6%、8.4%和15.8%。以负面情绪为因变量,患者的生活方式、疾病等一般资料为自变量进行单因素分析,得出性别、年龄、文化程度、婚姻状况、工作状况、家庭人均月收入、睡眠状况等7个因素为PCI术后冠心病患者负面情绪的影响因素,差异有统计学意义(P<0.05)。

结论

大多数PCI术后冠心病患者易出现焦虑、抑郁等负面情绪。医务人员应高度重视评估该群体的负面情绪,并及时采取针对性的干预措施,以预防和减轻PCI术后冠心病患者不良情绪的发生和发展。

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