冠心病PCI术后患者心理状态及影响因素分析

Analysis of psychological status and influencing factors of patients with coronary heart disease after PCI

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2021, 48(4)
作者
作者单位

鹤壁市人民医院心内科 ;

摘要
【摘要】 分析冠心病经皮冠状动脉介入治疗(PCI)术后患者心理状况及相关影响因素。方法 收集我院98例冠心病PCI术后患者临床资料,使用焦虑自评量表(SAS)评分及抑郁自评量表(SDS)评分评估患者术后心理状态,采用多因素Logistic回归分析法分析患者心理状态的影响因素。结果 98例冠心病PCI术后患者抑郁发生率54.08%,焦虑发生率59.18%。Logistic回归分析显示,术后出现并发症、初中以下学历、≥50岁人群、女性、病程>1年、自费缴费人群是术后焦虑的危险因素;女性、社会关系较差、自费缴费、术后出现并发症是术后抑郁的危险因素(P<0.05)。结论 冠心病PCI术后患者约有59.18%人群存在焦虑,约有54.08%人群出现抑郁,自费缴费、女性、术后出现并发症是抑郁、焦虑的危险因素,社会关系较差是抑郁危险因素,年龄≥50岁、病程>1年、初中以下学历是焦虑的危险因素。
Abstract
[Abstract] Objective To analyze the psychological status and related influencing factors of patients with coronary artery disease after percutaneous coronary intervention (PCI). Methods The clinical data of 98 patients with coronary heart disease after PCI were collected in our hospital, and the self-rating anxiety scale (SAS) score and the self-rating depression scale (SDS) score were used to assess the postoperative mental state of the patients, and the multivariate logistic regression analysis method was used to analyze Influencing factors of patients mental state. Results The incidence of depression in 98 patients with coronary heart disease after PCI was 54.08%, and the incidence of anxiety was 59.18%. Logistic regression analysis showed that postoperative complications, junior high school education or younger, people over 50 years old, females, disease duration> 1 year, self-paying people are risk factors for postoperative anxiety; females, poor social relations, self-paying, postoperative Complications were a risk factor for postoperative depression (P<0.05). Conclusion Approximately 59.18% of patients with coronary heart disease after PCI have anxiety, and approximately 54.08% of people have depression. Self-paying, women, and postoperative complications are risk factors for depression and anxiety, and poor social relationships are risk factors for depression. Age ≥50 years, course of disease> 1 year, and junior high school education or less are risk factors for anxiety.
关键词
【关键词】冠心病;经皮冠状动脉介入;心理状态;影响因素
KeyWord
[Keywords] Coronary Heart Disease; Percutaneous Coronary Intervention; Mental State; Influencing Factors
基金项目
页码 687-689
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吕杰*. 冠心病PCI术后患者心理状态及影响因素分析 [J]. 国际精神病学杂志. 2021; 48; (4). 687 - 689.

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