冠脉支架术对冠心病患者心理及生活质量的影响

Investigation of Stress Disorder Condition and Quality of Life after Coronary Artery inner Support Implantation

分析冠脉支架术对患者生活质量及心理情况的影响并探讨相应策略。采用横断面研究方法,调查2007年6月～2010年9月在我院行冠脉支架术患者768例,应用Zung焦虑、SAS、SDS自评表及SF-36生活质量问卷等方法采集相关资料,200名健康人为对照1组、未行支架置入的冠心病患者为对照2组,数据行统计学分析。支架植入患者SAS、SDS评分异常比例高于未植入支架者,焦虑及中重度抑郁的比例高于非支架植入患者。支架植入患者SF-36量表评分低于健康人,但高于非支架植入患者。冠脉支架术能提高患者生活质量。术后合并焦虑、抑郁状态比例高,加强术后心理干预很有必要。

After goal analysis coronary artery inner support implantation, after the patient merges anxious, the despondent condition situation as well as the support implantation, to patient quality of life influence. The method uses the cross section research technique, carried on the investigation to 2003 -- 2009 in my courtyard good coronary artery inner support implantation＇s 768 example patient, was anxious using Zung, SAS, SDS from commented the table and SF--36 method gathering correlation data and so on quality of life questionnaire, compared 1 group, 200 by 200 healthy persons achievement the patient achievement which contracted the coronary disease but good support not to post to compare 2 groups, grouped the good statistics analysis according to the sex. After finally coronary artery inner support implantation, patient SAS, the SDS grading accounts for 31.4 % exceptionally separately, 61.3 %, the good support has not implanted coronary disease patient accounts for 11.6% exceptionally separately, 26.3%, the masculine patient and the merge anxious condition and the specific weight despondent condition＇s proportion is higher than the feminine patient, not to be higher than the good support implantation coronary disease patient obviously. In the conclusion coronary disease patient coronary artery implants the support to be able to improve the patient quality of life obviously. But after the coronary artery support implants, the patient merges, the despondent condition proportion to he high anxious, strengthens these crowds the psychological intervention to have the necessity very much.