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目的研究综合护理对于老年女性冠心病(CHD)患者经皮冠状动脉支架植入术(CSI)后焦虑抑郁情绪及生活质量的影响。方法将104例CSI后并发焦虑抑郁情绪的老年女性CHD患者随机分为两组:对照组(n=52)予以常规治疗与护理,观察组(n=52)在此基础上予以综合护理。比较两组护理后焦虑自评量表,抑郁自评量表(SAS、SDS)、生活质量评分(SF-36、SAQ)及主要不良心血管事件(MACE)发生率。结果护理6个月后,观察组的SAS、SDS评分显著低于对照组(P<0.05),SAQ及SF-36各领域评分显著高于对照组(P<0.05);观察组的MACE发生率为5.77%,显著低于对照组的19.23%(P<0.05)。结论综合护理能够缓解老年女性CHD患者CSI术后焦虑抑郁情绪,改善生活质量并减少MACE发生率。
Objective To investigate the effect of comprehensive nursing care on anxiety and depression and quality of life in elderly patients with coronary heart disease (CHD) after percutaneous coronary stent implantation (CSI). Methods 104 elderly CHD patients with CSI after anxiety and depression were randomly divided into two groups: the control group (n = 52), and the observation group (n = 52) on the basis of comprehensive care. The self-rating anxiety scale, self-rating depression scale (SAS, SDS), quality of life score (SF-36, SAQ) and incidence of major adverse cardiovascular events (MACE) were compared between the two groups. Results After six months of nursing, the scores of SAS and SDS in the observation group were significantly lower than those in the control group (P <0.05), and the scores of SAQ and SF-36 in all fields were significantly higher than those in the control group (P <0.05) Was 5.77%, which was significantly lower than that of the control group (19.23%, P <0.05). Conclusion Comprehensive nursing can relieve post-CSI anxiety and depression, improve quality of life and reduce the incidence of MACE in elderly women with CHD.