Effect of risk forewarning hierarchical management on postoperative mental state,adverse events and quality of life in patients with acute coronary syndrome
10.3969/j.issn.1008-0074.2025.05.22
- VernacularTitle:风险预警分级管理对急性冠脉综合征患者术后心理状态、不良事件和生活质量的影响
- Author:
Rong-hui XIN
1
;
Zhi-gang ZUO
;
Liu PEI
;
Li-kun ZHAO
Author Information
1. 秦皇岛市第一医院重症医学科一区,河北秦皇岛 066000
- Publication Type:Journal Article
- Keywords:
Acute coronary syndrome;
Angioplasty,balloon,coronary;
Quality of life
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2025;34(5):717-722
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of risk forewarning hierarchical management on mental state,major adverse cardiovascular events(MACE)and quality of life in patients with acute coronary syndrome after percutane-ous coronary intervention(PCI).Methods:This randomized controlled study enrolled 152 patients with acute coro-nary syndrome who underwent PCI in the First Hospital of Qinhuangdao between July 2021 and June 2023.Patients were randomly divided into control group(n=76,conventional intervention program)and intervention group(n=76,additional risk forewarning hierarchical management).After 3-month intervention,mental state[Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)scores],health literacy[perceived knowledge scale for coronary heart diseases(PKS-CHD)score],quality of life[Seattle angina questionnaire(SAQ)score]and in-cidence of MACE were compared between the two groups.Results:Compared to those in the control group,patients in the intervention group had significantly higher total score of PKS-CHD[(35.08±3.59)points vs.(30.53±3.85)points],SAQ dimensional scores of physical limitation[(15.24±1.73)points vs.(13.26±1.45)points],an-ginal stability[(16.84±1.39)points vs.(15.18±1.48)points],disease perception[(17.00±1.46)points vs.(14.34±1.93)points],anginal frequency[(18.55±1.18)points vs.(16.11±1.39)points]and treatment satis-faction[(17.12±1.45)points vs.(14.04±1.93)points](P＜0.001 all),and significantly lower HAMA score[(11.89±1.64)points vs.(13.55±1.56)points],HAMD score[(12.61±1.76)points vs.(16.42±1.92)points]and the incidence of MACE(8.00％vs.28.38％)(P＜0.001 all).Conclusion:Risk forewarning hierarchical man-agement may effectively relieve patients'negative emotions,improve their health literacy and quality of life,and significantly reduce the risk of MACE in patients with acute coronary syndrome after PCI.
