中青年冠心病患者冠脉介入治疗后心理状态及影响因素

Analysis of psychologic characteristics and influencing factors of young and middle-aged patients with coronary heart disease after coronary intervention

目的分析中青年冠心病患者冠脉介入(PCI)治疗后的心理状态及影响因素。方法以2017年11月~2019年10月为时间段,选择我院收治的200例PCI术治疗的中青年冠心病患者作为研究对象,调查患者术后的心理状态,分析影响因素。结果第一,调查显示,200例患者中,103例(51.5%)有焦虑,41例有抑郁(20.5%)。第二,单因素分析显示,中青年冠心病PCI术后并发焦虑、抑郁与社会人际关系、并发症、医疗费用来源、病程有关。第三,Logistic回归多因素分析显示:社会人际关系、并发症与病程是引起中青年冠心病PCI术后患者焦虑、抑郁的危险因素。结论中青年冠心病PCI术后,伴有明显的情绪问题,且影响因素较多,如并发症和社会人际关系差等,需引起重视。

Objective To analyze the psychological characteristics and influencing factors of young and middleaged patients with coronary artery disease after PCI.Methods From November 2017 to October 2019,we selected 200 young and middle-aged patients with coronary heart disease treated by PCI,and investigated their mental state after operation,and analyzed the influencing factors.Results First,the survey showed that 103 patients(51.5%)had anxiety and 41 patients(20.5%)had depression.Second,the uni-variate analysis showed that anxiety and depression in young and middle-aged patients with coronary heart disease after PCI were related to social relationships,complications,sources of medical expenses and course of disease.Third,logistic regression analysis showed that social relationships,complications and course of disease were the risk factors of anxiety and depression in young and middle-aged patients after PCI.Conclusion The young and middle-aged patients with coronary heart disease(CHD)after PCI have obvious mental disorder and many influencing factors,such as more complications and poor social and interpersonal relationship,which should be paid attention to.