摘要
目的探讨心理干预对冠状动脉内支架置入老年患者焦虑抑郁负性情绪的缓解作用以及心血管不良事件发生率的影响。方法将102例行经皮冠状动脉腔内血管成形术及冠状动脉内支架置入老年患者随机分为心理干预组和对照组各51例。2组患者在支架置入后进行常规药物治疗和基础护理,心理干预组在此基础上进行心理干预。记录患者住院3 d和心理干预3个月时焦虑、抑郁评分,并统计3个月内2组患者随访期的心血管不良事件发生率。结果 2组患者住院3 d时焦虑自评量表评分和抑郁自评量表评分差异无统计学意义(P>0.05)。3个月后,心理干预组焦虑自评量表评分和抑郁自评量表评分低于对照组,差异有统计学意义(P<0.05)。2组患者在干预3个月时焦虑自评量表评分和抑郁自评量表评分均低于住院3 d时评分(P<0.05),且心理干预组下降更为明显。随访3个月,对照组患者心血管不良事件的发生率高于心理干预组,2组比较差异有统计学意义(P<0.05)。结论心理干预在缓解冠状动脉支架置入老年患者焦虑抑郁负性情绪的同时可降低心血管不良事件的发生率,改善患者的短期预后。
Objective To explore influence of psychological nursing intervention in relieving the negative emotions such as depression and anxiety and incidence of cardiovascular adverse events of patients with coronary stenting. Methods A total of 102 patients underwent coronary stenting were randomly divided into psychological intervention group and control group with 51 patients in each group. The patients in both groups received routine medical treatment and basic nursing,and patients in the psychological intervention group additional received psychological nursing intervention. The scores of depression and anxiety were recorded at the third day of admission and after 3 months of operation. Incidence of cardiovascular events of 3 months during follow- up period was analyzed. Results On the third day of admission,the scores of SAS and SDS showed no significant differences between psychological intervention group and the control group（ P 〉0. 05）. The scores of SAS and SDS in psychological intervention group after 3 months were significantly less than that in the control group,which showed the differences were statistically significant（ P 〈0. 05）. The scores of SAS and SDS after 3 months were significantly less than that of the third day of admission in the two groups（ P〈0. 05）,and the scores of the psychological intervention group reduced even more. After 3 months of follow- up, the incidence of adverse cardiovascular events in the control group was significantly higher than that in the psychological nursing intervention, which revealed that the difference was statistically significant（ P〈0. 05）. Conclusion Nursing intervention can not only relieve anxiety and depression of the patients with coronary stenting,but also decrease incident rate of adverse cardiovascular events and improve short- term prognosis of patients.
出处
《实用临床医药杂志》
CAS
2015年第4期1-3,16,共4页
Journal of Clinical Medicine in Practice
关键词
心理干预
支架置入
冠状动脉
负性情绪
心血管不良事件
老年患者
psychological intervention
stent implantation
coronary artery
negative emotions
cardiovascular adverse events
elderly patients
