经皮冠脉介入术和冠脉搭桥术术后再发胸痛的冠心病患者与正常群体的心理健康状态比较

Comparison of Mental Health States between the Coronary Heart Disease Patients and Normal People

目的探讨经皮冠脉介入术(PCI)和冠脉搭桥术(CABG)术后再发胸痛的冠心病患者与正常群体心理健康状态的差异,为进一步制定针对这些患者的心理康复计划提供指导。方法以中国人身心健康综合评估与诊断系统中的心理健康部分为测评工具,对40例住院治疗的PCI、CABG术后再发胸痛的冠心病患者(冠心病组)和46例健康成人(正常对照组)进行测查。结果冠心病组与正常对照组的负性情绪[(5.0±3.4)分vs.(3.3±3.6)分]、认知功能[(15.1±9.5)分vs.(10.8±7.9)分]及自我评价[(13.1±7.6)分vs.(9.8±5.4)分]得分比较,差异均有统计学意义(P<0.05)。结论PCI、CABG术后再发胸痛的冠心病患者的心理健康状态相对较差,主要存在的问题包括更多的负性情绪、减弱的认知功能和较低的自我评价。在制定冠心病患者的综合康复计划时,需要有针对性地加入心理干预的内容。

Objective To explore differences of mental health between coronary heart disease patients, who get recurrent chest pain after percutaneous coronary intervention （PCI） and coronary artery bypass graft（CABG）, and normal people, so as to provide guidance for set-up of the psychological rehabilitation for these patients.Methods The mental health section of the integrative system for diagnosing and assessing health state in Chinese population was taken as the criteria to assess 40 inpatients with coronary heart disease who got recurrent chest pain after they received PCI and CABG （coronary group） and 46 normal participants （normal group）. Results Compared with normal participants, patients experienced more negative emotion [（5.0±3.4） vs.（3.3±3.6）], showed lower cognitive ability [（15.1±9.5） vs.（10.8±7.9）] and had lower self-evaluation [（13.1±7.6） vs.（9.8±5.4）] （P〈0.05） . Conclusion The mental health of coronary heart disease patients with recurrent chest pain after PCI and CABG is relative poor, the major problems are negative emotion, lowered cognitive ability and decreased self-evaluation. So the contents of psychological intervention should be purposely included when establishing a compound rehabilitation program for the patients.