中青年冠心病患者冠脉介入治疗后精神心理特点及影响因素研究

Mental and psychological features and related factors of young and middle-aged coronary heart disease patients treated with percutaneous coronary intervention

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(1)
作者
作者单位

陕西省西电集团医院 ;
西安交通大学第二附属医院 ;

摘要
【摘要】目的:分析中青年冠心病患者冠脉介入治疗(PCI)后的精神心理特点,并对其影响因素进行分析。方法:将我院收治的136例行PCI术的中青年冠心病患者作为研究对象,使用汉密尔顿焦虑量表(SAS)和汉密尔顿抑郁量表(SDS)调查其精神心理特点,并分析引发精神心理障碍的危险因素。结果:行PCI术治疗的中青年冠心病患者的焦虑发生率为66.9%、抑郁发生率为63.2%,多因素Logistic回归分析显示社会人际关系、并发症、冠状动脉病变支数是引发精神心理障碍的危险因素。结论:行PCI术的中青年冠心病患者存在较为严重的精神心理障碍,临床工作中需加强对社会人际关系较差、并发症多、冠状动脉病变支数较多的患者的临床干预。
Abstract
【Abstract】Objective To explore the mental and psychological features of young and middle-aged coronary heart disease patients treated with percutaneous coronary intervention (PCI), and analyze its influencical factors. Methods 136 cases of young and middle-aged coronary heart disease patients who were treated with PCI operation were enrolled as research object, the mental and psychological features were accessed with SAS and SDS scales. Meanwhile, we analyzed the factors which may lead to mental and psychological problems. Results: The anxiety rate and depression rate of young and middle-aged coronary heart disease patients treated with PCI were 66.9% and 63.2%, respectively. Multiple Logistic analysis showed that social interpersonal appellation, complication and stenosed coronary vessel amount were the risk factors which could result in mental and psychological disorders. Conclusion: Young and middle-aged coronary heart disease patients who were treated with PCI operation are prone to mental and psychological disorders, therefore, we should strengthen the intervention on patients who have bad social interpersonal appellation, more complication and stenosed coronary vessel amount.
关键词
【关键词】中青年冠心病;PCI术;精神心理;影响因素
KeyWord
【Key words】Young and middle-aged coronary heart disease; PCI operation; Mental and psychological features; Influencial factors
基金项目
页码 106-108
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朱俊*,张超锋,武卫党 ,王聪霞. 中青年冠心病患者冠脉介入治疗后精神心理特点及影响因素研究 [J]. 国际精神病学杂志. 2017; 44; (1). 106 - 108.

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