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目的探讨冠心病患者行冠状动脉介入手术前后的心理变化。方法采用汉密尔顿焦虑、抑郁量表进行心理状态评分,观察焦虑和抑郁是否随血运重建而改善。结果对210例冠状动脉介入手术成功患者进行心理状态评分,应答率为100%。术前122例患焦虑,其中65例处于焦虑状态(30.95%),57例肯定焦虑(27.14%),占总调查人数的58.10%;80例患抑郁,40例处于抑郁状态(19.04%),40例肯定抑郁(19.04%),占总调查人数的38.08%。出院时,114例仍有焦虑,64例处于焦虑状态(30.48%),50例肯定焦虑(23.81%),占总调查人数的54.29%;89例患抑郁,44例处于抑郁状态(20.95%),45例肯定抑郁(21.43%),占总调查人数的42.38%。结论成功的介入手术并不能明显改善冠心病患者的焦虑和抑郁。
Objective To investigate the psychological changes of patients with coronary heart disease before and after coronary intervention. Methods The Hamilton anxiety and depression scale were used to evaluate the mental status and to observe whether anxiety and depression improved with revascularization. Results 210 patients with successful PCI underwent psychological status score with a response rate of 100%. Preoperative 122 patients had anxiety, of which 65 were anxious (30.95%), 57 were affirmative anxiety (27.14%), accounting for 58.10% of the total number of respondents; 80 were depressed, 40 were depressed (19.04%), 40 cases of depression (19.04%), accounting for 38.08% of the total number of investigations. At the time of discharge, 114 patients remained anxious, 64 patients were in anxiety state (30.48%), 50 patients were affirmative anxiety (23.81%), accounting for 54.29% of the total number of respondents. 89 patients had depression and 44 patients were in depression (20.95% , 45 cases of depression (21.43%), accounting for 42.38% of the total number of investigations. Conclusion Successful intervention does not significantly improve anxiety and depression in patients with coronary heart disease.