冠状动脉支架植入患者的心理评估

Mental Health Assessment of Coronary Artery Stent Implantation

目的调查冠状动脉支架植入患者的心理健康状况。方法采用症状自评量表(SCL-90)对218例冠状动脉支架植入患者进行心理健康状况评估。结果症状自评量表评定发现,患者心理健康状况好48例(22.02%),良好56例(25.69%),一般82例(37.61%),较差32例(14.68%)。因子评分除人际、敌对和精神病性外,其余6项因子总平均分>2分。在躯体化、忧郁、焦虑和恐怖因子评分中有50%以上的人员因子分>3,阳性项目平均数>43项。结论冠状动脉支架植入患者存在许多心理问题。

Objective To investigate the mental health status of patients with coronary artery stent implantation.Methods Symptom Checklist（SCL-90） was used to evaluate the mental health conditions of 218 patients after coronary artery stent implantation with man-machine conversation and computer evaluation.Results It was found that 48 cases in excellent mental health,accounting for 22.02%;56 cases in good mental health condition,accounting for 25.69%;82 cases in normal mental health condition,accounting for 37.61%;and 32 cases in poor mental health,accounting for 14.68%.In addition to the interpersonal factor,hostility and psychosis factors,the other six factors＇ overall average score was more than 2.More than 50% of the staff scored greater than 3,and their average positive factors were greater than 43 items in somatization,depression,anxiety and fear.Conclusion The patients after coronary artery stent implantation suffered from many psychological problems.