PCI术后患者心理健康状况与社会支持的相关性研究
The Correlation Study between Mental Health Status and Social Support in Patients after PCI

DOI: 10.12677/NS.2021.102011, PP. 71-77

Keywords: 冠心病，PCI，心理健康，影响因素
Coronary Heart Disease, Percutaneous Coronary Intervention, Mental Health, Influencing Factor

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Abstract:

目的：探讨冠心病PCI术后患者心理健康状况及其影响因素，分析心理状况与社会支持的相关性。方法：便利选取2020年6月~2020年10月来我院门诊复查的冠心病PCI术后患者116例作为研究对象，采用一般资料调查表、医院焦虑抑郁量表(HADS)、一般自我效能量表(GSES)、社会支持评定量表(SSRS)对患者进行问卷调查。结果：116例患者中出现不良心理状况52例，占44.8%。Pearson相关分析显示，患者的自我效能感、主观支持及支持利用度与患者的HADS得分呈负相关(P < 0.05)。多元逐步回归分析结果显示植入支架数、自我效能、主观支持是冠心病PCI术后患者不良心理状况的主要影响因素(P < 0.05)。结论：冠心病PCI术后患者心理健康水平较低，其心理健康状况与社会支持水平密切相关。医护人员应该高度重视冠心病PCI术后患者的心理状况，针对性的制定心理护理干预措施，加强对疾病的宣传和教育，降低患者的不良心理程度。
Objective: To investigate the mental health status and influencing factors of patients with coronary heart disease after percutaneous coronary intervention. Methods: It is convenient to select 116 patients with coronary heart disease after PCI who came to our hospital for reexamination from June 2020 to October 2020 as the research objects. Intervention were investigated by using the general information questionnaire, Hospital Anxiety and Depression Scale (HADS), General Self-Efficacy Scale (GSES), Social Support Rating Scale (SSRS). Results: Among the 116 patients, 52 had adverse psychological conditions, accounting for 44.8%. Pearson correlation analysis showed that patients’ self-efficacy, subjective support and support utilization were negatively correlated with HADS scores (P < 0.05). Multiple regression analysis showed that the number of stents implanted, self-efficacy and subjective support were the main factors affecting the adverse psychological status of these patients (P < 0.05). Conclusions: The mental health level of patients with coronary heart disease after PCI was low. Medical staff should attach great importance to the psychological status of patients with coronary heart disease after PCI, formulate targeted psychological nursing intervention measures, strengthen the publicity and education of the disease, and reduce the adverse psychological conditions of patients.

References

[1]	齐艳鹏, 李殿芳, 王玉柱, 白雪, 任洪华, 张双印, 等. 冠心病介入患者焦虑抑郁状况调查及其预后的相关性研究[J]. 中西医结合心血管病电子杂志, 2015, 3(8): 189-190+192.
[2]	Damen, N.L.,Versteeg, H., Boersma, E., Ser-ruys, P.W., van Geuns, R.-J.M., Denollet, J., et al. (2013) Depression Is Independently Associated with 7-Year Mortali-ty in Patients Treated with Percutaneous Coronary Intervention: Results from the Research Registry. International Jour-nal of Cardiology, 167, 2496-2501. https://doi.org/10.1016/j.ijcard.2012.04.028
[3]	涂清鲜, 姜黔峰, 刘丹, 柏小川, 覃智芳, 关婧. 冠心病患者PCI术治疗前后抑郁焦虑的特点及心理干预[J]. 中国老年学杂志, 2019, 39(5): 1230-1232.
[4]	李峥, 刘宇. 护理学研究方法[M]. 北京: 人民卫生出版社, 2012: 258-261.
[5]	汪向东, 王希林, 马弘. 心理卫生评定量表手册[M]. 北京: 中国心理卫生杂志社, 1999: 223-226.
[6]	Zigmond, A.S. and Snaith, R.P. (1983) The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361-370. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x
[7]	王才康, 胡中锋, 刘勇. 一般自我效能感量表的信度和效度研究[J]. 应用心理学, 2001, 7(1): 37-40.
[8]	刘继文, 李富业, 连玉龙. 社会支持评定量表的信度效度研究[J]. 新疆医科大学学报, 2008, 31(1): 1-3.
[9]	Damen, N.L., Pelle, A.J., van Geuns, R.J., van Domburg, R.T., Bo-ersma, E. and Pedersen, S.S. (2011) Intra-Individual Changes in Anxiety and Depression during 12-Month Follow-up in Percutaneous Coronary Intervention Patients. Journal of Affective Disorders, 134, 464-467. https://doi.org/10.1016/j.jad.2011.05.026
[10]	刘晓阳, 吴学琴, 王丽萍. 正念减压疗法结合健康教育对经皮冠状动脉介入术后患者的影响[J]. 护理实践与研究, 2020, 17(10): 44-46.
[11]	孙晓琳. 辨证施护对冠心病焦虑抑郁状态及患者自我护理能力的影响[J]. 长春中医药大学学报, 2018, 34(1): 142-144.
[12]	何皖. 老年高血压患者理论运用自我效能的效果评价[J]. 中国老年学杂志, 2011, 31(5): 879-881.
[13]	张瑶, 郑梅. 基于慢性疾病轨迹模式的护理干预对老年冠心病病人心理、临床症状、自我效能、生活质量的影响[J]. 护理研究, 2019, 33(23): 4044-4048.
[14]	汪康宁, 廖秋玲, 陈烈钳, 谭国斌, 张高华, 熊莽, 等. 前列腺癌患者生存质量及影响因素分析[J]. 中国男科学杂志, 2015, 29(6): 15-20.
[15]	郭兵妹, 赵琳, 高元鹏, 祝筠. 中重度烧伤患者焦虑、抑郁状态与自我效能感及社会支持的相关性研究[J]. 中国实用护理杂志, 2016, 32(31): 2433-2437.
[16]	张嘉丽, 谢齐群, 孙琰. 微信教育对门诊PICC患者社会支持与导管维护依从性的影响[J]. 护理实践与研究, 2017, 14(12): 149-150.
[17]	Tsagalou, E., Chieffo, A. and Iakovou, I. (2005) Multiple Overlapping Drug-Eluting Stents to Treat Dif-fuse Disease of the Left Anterior Descending Coronary Artery. Journal of the American College of Cardiology, 45, 1570-1573. https://doi.org/10.1016/j.jacc.2005.01.049
[18]	卜雪芹. PCI术后新发焦虑抑郁情况及其相关因素的临床研究[D]: [硕士学位论文]. 石家庄: 河北医科大学, 2018.

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