Analysis of Influencing Factors of Psychological Distress Level in Patients with Acute Myocardial Infarction after PCI Based on Nomogram Prediction Model
10.13241/j.cnki.pmb.2025.11.005
- VernacularTitle:基于列线图预测模型的急性心肌梗死患者PCI术后心理痛苦水平的影响因素分析
- Author:
Li-sa YANG
1
;
Xiao-li LI
1
;
Wei-jie WANG
1
Author Information
1. 山东省立第三医院特需保健病房 山东济南 250031
- Publication Type:Journal Article
- Keywords:
Acute myocardial infarction;
Percutaneous coronary intervention;
Psychological distress;
Nomogram;
Influencing factor
- From:
Progress in Modern Biomedicine
2025;25(11):1799-1805
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To establish a nomogram model to predict the level of psychological distress in patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI).Methods:A total of 100 AMI patients underwent PCI were selected,a predictive model based on the influencing factors was established,receiver operating characteristic(ROC)curve was used to analyze the predictive value of the nomogram prediction model for psychological distress after PCI.Results:Among 100 AMI patients,35 cases(35.00％)had total Hospital Anxiety and Depression Scale(HADS)score ≥15 score.The level of psychological distress in AMI patients after PCI was correlated with family monthly income,scores on general self-efficacy scale(GSES)score,age,Killip grade,Social support rating Scale(SSRS)score,gender,and number of complications(P＜0.05).Older age,female and more comorbidities were independent risk factors for higher level of psychological distress in AMI patients after PCI(P＜0.05),while high GSES score and SSRS score were protective factors(P＜0.05).The C index of the nomogram prediction model=0.853.The calibration curve shows that the predicted probability fits the actual observed probability well.The area under the curve(AUC)of the nomogram prediction model was 0.924,the specificity was 84.26％,and the sensitivity was 87.17％.Conclusion:Older age,female and more comorbidities are risk factors for higher psychological distress AMI patients after PCI,high SSRS score and GSES score are protective factors.The nomogram prediction model based on the above risk factors can effectively predict the level of psychological distress.
