The influence of psychological intervention before percutaneous coronary intervention on mental stress, coping style and related factors of depression in patients with acute coronary syndrome
10.3760/cma.j.issn.1672-7088.2019.26.004
- VernacularTitle: 经皮冠状动脉介入治疗术前心理干预对急性冠状动脉综合征患者精神压力、应对方式的影响及并发抑郁症的相关因素分析
- Author:
Hongyu CHEN
1
;
Lijia CAO
;
Lin WU
Author Information
1. Department of Cardiovascular Medicine, the First Hospital of Peking University, Beijing 100034, China
- Publication Type:Clinical Trail
- Keywords:
Acute coronary syndrome;
Percutaneous coronary intervention;
Psychological intervention;
Mental stress;
Coping style;
Depression
- From:
Chinese Journal of Practical Nursing
2019;35(26):2017-2021
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the influence of psychological intervention before percutaneous coronary intervention (PCI) on mental stress, coping style and related factors of depression in patients with acute coronary syndrome (ACS).
Methods:281 patients with ACS who were treated in our hospital from March 2016 to August 2018 were selected as the study subjects. According to whether psychological intervention was given to ACS patients before PCI, they were divided into intervention group (n = 135) and control group (n = 146). SCL-90 was used to assess mental stress and MCMQ was used to assess coping styles. The changes of mental stress and coping style before and after operation were compared between the two groups. To investigate the incidence of depression in ACS patients after PCI and analyze the related factors affecting their depression.
Results:After PCI, the scores of somatization, obsessive-compulsive disorder, interpersonal sensitivity, depression, anxiety, hostility, fear, paranoia, psychosis and bedtime status were decreased in the SCL-90 scores of the intervention group and the control group (P<0.05). The reduction in the intervention group was more obvious, and the difference was statistically significant (P<0.05). After PCI, there was no significant difference in avoidance and yield between the two groups (P>0.05), and there was no significant difference between the two groups before PCI (P>0.05). After PCI, the face score of intervention group was higher than that of control group (P<0.05), and compared with pre-PCI, the difference was also statistically significant (P<0.05). Of the 281 patients with ACS, 84 (29.89%) had depression after PCI. In the intervention group, 26 patients (19.26%) suffered from depression, and 58 patients (39.73%) in the control group suffered from depression. The prevalence of depression in the two groups was statistically significant (P<0.05). Univariate and multivariate logistic analysis showed that the degree of coronary artery disease, education and psychological intervention before PCI were closely related to ACS patients with post-PCI complicated with depression.
Conclusion:Psychological intervention can improve the stress of ACS patients and reduce the negative response. At the same time, it can reduce the risk of depression after PCI.
