经皮冠状动脉介入术后的急性非ST段抬高型心肌梗死患者的焦虑、抑郁状况
Anxiety and depression in patients with acute non-ST elevation myocardial infarction after percutaneous coronary intervention
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| DOI |
| 刊名 |
Journal of International Psychiatry
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| 年,卷(期) |
2023, 50(6) |
| 作者 |
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| 作者单位 |
周口市中医院重症医学科 ;
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| 摘要 |
【摘要】探究急性非ST段抬高型心肌梗死患者经皮冠状动脉介入术治疗后的焦虑、抑郁现状以及影响因素。方法 选取2021年1月至2023年1月150名急性非ST段抬高型心肌梗死经皮冠状动脉介入术患者,采用一般资料调查表、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、一般自我效能感量表及社会支持评定量表评估其焦虑情况;并使用多因素logistic分析术后出现焦虑、抑郁的影响因素。结果 经HAMA量表统计得出,150例NSTEMI经PCI患者中有58例(38.67%)存在术后焦虑、51例(34.00%)存在术后抑郁;经多因素logistic回归分析得出,自我效能差、社会支持水平低、自费付费方式、月收入低是NSTEMI经PCI术患者术后发生焦虑的独立危险影响因素;月收入低、社会支持水平低、自费付费方式是NSTEMI经PCI术患者术后抑郁的独立危险影响因素(P<0.05)。结论 社会支持水平低、自我效能差、月收入低、自费付费方式是NSTEMI经PCI患者发生焦虑、抑郁的危险影响因素,应给予针对性的措施加以治疗来降低焦虑、抑郁发生率。
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| Abstract |
【Abstract】Objective To investigate the status quo and influencing factors of anxiety and depression in patients with acute non-ST elevation myocardial infarction after percutaneous coronary intervention. Methods 150 patients with acute non-ST elevation myocardial infarction undergoing percutaneous coronary intervention from January 2021 to January 2023 were selected to evaluate their anxiety status by general data questionnaire, Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD), general self-efficacy scale and social support rating scale. Multivariate logistic analysis was used to analyze the influencing factors of postoperative anxiety and depression. Results According to HAMA scale statistics, among 150 NSTEMI patients after PCI, 58 cases (38.67%) had postoperative anxiety and 51 cases (34.00%) had postoperative depression. Multivariate logistic regression analysis showed that poor self-efficacy, low level of social support, out-of-pocket payment mode and low monthly income were independent risk factors for postoperative anxiety in NSTEMI patients after PCI. Low monthly income, low level of social support and out-of-pocket payment were independent risk factors for postoperative depression in NSTEMI patients after PCI (P<0.05). Conclusion Low level of social support, poor self-efficacy, low monthly income and out-of-pocket payment are risk factors for anxiety and depression in NSTEMI patients after PCI, and targeted measures should be given to reduce the incidence of anxiety and depression.
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| 关键词 |
【关键词】急性非ST段抬高型心肌梗死;经皮冠状动脉介入术;焦虑;抑郁
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| KeyWord |
【 Key words 】 Acute non-ST elevation myocardial infarction; Percutaneous coronary intervention; Anxiety; depressed
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| 基金项目 |
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| 页码 |
1486-1489 |
刘良丽*.
经皮冠状动脉介入术后的急性非ST段抬高型心肌梗死患者的焦虑、抑郁状况 [J].
国际精神病学杂志.
2023; 50; (6).
1486 - 1489.