冠状动脉介入诊疗术患者焦虑与手术并发症的相关性分析

Correlation analysis about anxiety and surgical complications in coronary interven-tion diagnosis and treatment

目的：探讨冠状动脉介入诊疗术与手术并发症的相关性。方法将212例行冠状动脉介入术患者根据焦虑自评量表评分分为焦虑组与非焦虑组。比较两组的并发症发生率以及术后疼痛程度，疼痛评分采用的是数字评价量表（ NRS）；另外可根据自制的调查问卷分析引起患者焦虑的原因。结果焦虑组与非焦虑组比较，在低血糖方面差异有统计学意义，发生率分别为12．3％和4％（χ2＝4．893，P＝0．027）；迷走神经反应症方面差异有统计学意义，发生率分别为12．3％和0（χ2＝5．321，P＝0．021）；两组在疼痛程度方面比较，差异有统计学意义（P＜0．05）；通过患者焦虑影响因素分析，在术前手术效果与方式为最主要影响因素，在术后担心手术并发症为最主要影响因素（86．79％）。结论冠状动脉介入术的术后并发症部分受患者焦虑情绪的影响，而影响焦虑的因素也是可分析的，部分因素通过系统化护理可能会得到改善。

Objective To explore correlation analysis about anxiety and surgical complications in coronary intervention diagnosis and treatment.Methods A total of 212 patients with coronary intervention were divided into two groups （ the anxious group and the not anx-ious group） and analyzed the cause of anxiety.The two groups were compared with complications and postoperative pain degree by NRS.Results The two groups were statistically significant differences in the low blood sugar, the vagus nerve reaction disease and pain score （12.3%, 4%, χ2 =4.893, P=0.027）, （12.3%, 0, χ2 =5.321, P=0.021） and Z=-4.341, P=0〈0.05.The operation effect and the way （85.85%） pre-operation and complications （86.79%） post-operation were the main reasons for anxiety.Conclusions The postoperative complications in coronary intervention diagnosis and treatment were affected by factors of anxiety, but some factors could be analyzed, so the systematic nursing service could prevent complications.