Influence of multi-stage psychological intervention on long-term prognosis of CHD patients undergoing revascularization
10.3969/j.issn.1008-0074.2017.06.04
- VernacularTitle:多阶段心理干预对行再血管化治疗的冠心病患者远期预后的影响
- Author:
Jing YANG
1
;
ying Cheng BAO
;
Quan ZHOU
;
qin Yu GUAN
Author Information
1. 青海省心脑血管病专科医院护理部
- Keywords:
Psychological nursing;
Coronary disease;
Prognosis
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2017;26(6):593-596
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore influence of multi-stage psychological intervention on long-term prognosis of patients with coronary heart disease(CHD)undergoing revascularization therapy.Methods:A total of 160 CHD patients, who suffered from depression after revascularization in our hospital,were selected.According to random number ta-ble,they were randomly and equally divided into routine psychological nursing group and multi-stage psychological nursing group,both groups were followed up for two years.Scores of self-rating anxiety scale(SAS),self-rating de-pression scale(SDS),Gensini score and incidence rate of main adverse cardiovascular events(MACE)were com-pared between two groups at enrollment and two years after enrollment.Results:Compared with enrollment,two years later,all scores significantly reduced in two groups(P=0.001 all);compared with routine psychological nurs-ing group,there were significant reductions in scores of SAS[(65.74 ± 3.95)scores vs.(61.13 ± 3.87)scores],SDS [(70.14 ± 5.69)scores vs.(65.59 ± 5.70)scores]and Gensini[(40.33 ± 4.30)scores vs.(35.14 ± 3.61)scores]in multi-stage psychological nursing group,P=0.001 all;Incidence rate of MACE in multi-stage psychological nursing group was significantly lower than that of routine psychological nursing group(13.75% vs.31.25%,P=0.008). Conclusion:Multi-stage psychological intervention can significantly relieve anxiety and depression state,reduce inci-dence of major adverse cardiovascular events in patients with coronary heart disease after revascularization.
