Exploring the psychological vulnerability of patients after percutaneous coronary intervention based on symptom network analysis
10.3760/cma.j.cn211501-20240712-01835
- VernacularTitle:基于症状网络分析法探讨经皮冠状动脉介入治疗术后患者心理脆弱特征
- Author:
Wei SHEN
1
;
Jing WANG
;
Zhiqian CHEN
;
Yannan ZHU
;
Congying LIU
;
Sumei TONG
Author Information
1. 北京大学第三医院心血管内科，北京 100191
- Publication Type:Journal Article
- Keywords:
Percutaneous coronary intervention;
Nursing care;
Mental vulnerability;
Symptom network
- From:
Chinese Journal of Practical Nursing
2025;41(14):1092-1101
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the psychological vulnerability characteristics of patients after percutaneous coronary intervention (PCI) based on symptom network analysis, and to provide evidence for maintining their psychological health.Methods:Using a cross-sectional survey method, from October 2023 to March 2024, a convenience sampling approach was employed to conduct a questionnaire survey among patients who underwent percutaneous coronary intervention (PCI) in the general ward of the Cardiology Department at Peking University Third Hospital. The survey involved a general information questionnaire and Mental Vulnerability Questionnaire. The R language was used to construct a symptom network to describe the relationship between each symptom of patients′psychological vulnerability, and its centrality index was calculated.Results:A total of 260 post-PCI patients were enrolled, including191 males and 69 females, with a mean age of (62.38 ± 12.91) years and a total psychological vulnerability score of (47.25 ± 13.18). Multiple linear regression analysis showed that the level of mental vulnerability was higher in patients with female gender ( β = 0.207, P = 0.001) and higher number of comorbidities/past history ( β = 0.126, P = 0.039). In the symptom network analysis, the symptoms with the highest node strength, tight centrality, and mediator centrality were "You often feeling unwell" ( rs = 1.25, rc = 0.003 45, rb = 2.61), "You always in a bad mood" ( rs = 1.15) and "You often have anxiety attacks" ( rs = 1.13) were second only to "You often feeling unwell" in the center of intensity. Conclusions:The core symptom of psychological vulnerability in post-PCI patients is "You often feeling unwell", and mental symptoms are in a more central position. Nursing staff should take mental symptoms as the target of intervention, and strengthen the holistic care for patients′physical-psychological-mental symptoms, so as to effectively reduce the level of psychological vulnerability of the patients, and to maintain their psychological health.
