综合护理对老年女性冠心病经皮冠状动脉支架植入术后合并焦虑抑郁情绪及生活质量的影响

Effect of comprehensive nursing on the anxiety-depressive emotion and quality of life in senile female coronary heart disease patients after intracoronary stent implantation

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(5)
作者
作者单位

西安医学院第二附属医院心内科暨陕西省心血管内科疾病临床医学研究分中心 ;

摘要
【摘要】目的:研究综合护理对于老年女性冠心病(CHD)患者经皮冠状动脉支架植入术(CSI)后合并焦虑抑郁情绪及生活质量的影响。方法:将104例CSI后并发焦虑抑郁情绪的老年女性患者按数字随机法分为两组:对照组(n=52)予以常规治疗与护理,观察组(n=52)在此基础上予以综合护理。护理前及护理后6个月,采用Zung焦虑自评量表(SAS)、抑郁自评量表(SDS)评价焦虑抑郁情绪,采用西雅图心绞痛量表(SAQ)及简明健康调查量表(SF-36)评价生活质量,比较主要不良心血管事件(MACE)发生率。结果:护理6个月后,两组SAS、SDS评分均显著降低,且观察组显著低于对照组(P<0.05);两组SAQ及SF-36各领域评分均显著提高,且观察组显著高于对照组(P<0.05);观察组的MACE发生率为5.77%,显著低于对照组的19.23%(P<0.05)。结论:综合护理能够缓解老年女性CHD患者CSI术后焦虑抑郁情绪,改善生活质量并减少MACE发生率。
Abstract
Abstract Objective: To explore the effect of comprehensive nursing on the anxiety-depressive emotion and quality of life in senile female coronary heart disease (CHD) patients after intracoronary stent implantation(CSI).Methods: A total of 104 senile female CHD patients with anxiety-depressive emotion after CSI were enrolled and randomly divided into two groups:The control group (n=52) received routine treatment and nursing, the observation group (n=52) received comprehensive nursing on this basis. Before and 6 months after nursing,the anxiety-depressive emotion were evaluated by Zung Self-Rating Anxiety Scale (SAS) and self-rating depression scale (SDS),the quality of life was evaluated by Seattle Angina Questionnaire (SAQ) and Short Form Health Survey (SF-36),the incidence of major adverse cardiovascular events (MACE) between the two groups were conducted and compared.Results: 6 months after nursing,the scores of SAS and SDS in both groups were significantly reduced,and these in observation group were significantly lower than the control group (P<0.05); The scores of SAQ and the SF-36 in all areas were significantly improved, and these in observation group were significantly higher than the control group (P<0.05); The MACE rate was 5.77% in observation group,significantly lower than 19.23% in the control group(P<0.05). Conclusion: Comprehensive nursing can relieve the anxiety and depression psychology of senile female CHD patients with CSI, improve quality of life and reduce the incidence of MACE.
关键词
冠心病;焦虑;抑郁;经皮冠状动脉支架植入术;老年;女性;生活质量;综合护理
KeyWord
Coronary heart disease; Anxiety; Depression;Intracoronary stent implantation;Dlderly; Female; Quality of life; Comprehensive nursing
基金项目
页码 929-933
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郝永红,秦娅丽 ,王璞,王红*. 综合护理对老年女性冠心病经皮冠状动脉支架植入术后合并焦虑抑郁情绪及生活质量的影响 [J]. 国际精神病学杂志. 2017; 44; (5). 929 - 933.

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