127例急性心肌梗死经皮冠状动脉介入治疗术后患者焦虑抑郁状况

Analysis of early anxiety and depression in 127 patients with acute myocardial infarction after PCI

目的:探讨急性心肌梗死患者经皮冠状动脉介入治疗(PCI)手术前后1个月内焦虑、抑郁情绪的变化。方法:选取急性心肌梗死患者127例,分别于患者入院后第1天、术后第7天内、术后第14天、术后第21天,采用焦虑量表(SAS)和抑郁量表(SDS),评估患者的焦虑和抑郁情绪得分。结果:随访127例患者不同时间段焦虑、抑郁量表得分,通过正太分布检验,SAS、SDS得分均符合正太分布,因此采用均数和标准差进行统计学描述,对4次测量的SAS、SDS得分进行单样本的重复测量方差分析,结果发现急性心肌梗死患者在进行PCI手术的不同时间段SAS、SDS得分之间差异均具有统计学意义(F=49.51,31.25;P<0.05)。经卡方检验,不同时间患者焦虑、抑郁阳性发生率差异有统计差异(χ^(2)=238.8,16.3;P<0.05)。结论:本研究通过多次重复测量急性心肌梗死患者PCI手术前后1个月内焦虑抑郁水平,患者术后第1周应激带来的情绪问题最为严重,情绪压力随着术后时间推移,患者的焦虑、抑郁情绪逐渐降低,护理人员在患者术后早期要加强心理疏导,给予患者精神上了的支持尤为重要。

Objective:To investigate the changes of anxiety and depression in patients with acute myocardial infarction within 1 month before and after PCI.Methods:A total of 127 patients with acute myocardial infarction were selected.Patients were admitted on the 1 st day,7 th day after surgery,14 th day after surgery,and 21 st day after surgery using the Anxiety Scale(SAS)and Depression Scale(SDS).Results:Follow-up of 127 patients in different periods of time anxiety and depression scale scores,through the normal distribution test,SAS,SDS scores were in line with the normal distribution,so the mean and standard deviation were used for statistical description.The SAS and SDS scores of the four measurements were analyzed by repeated analysis of variance with a single sample.The results showed that the differences between SAS and SDS scores in patients with acute myocardial infarction during different periods of PCI were statistically significant(F=49.51,31.25,P<0.05).The chi-square test showed that the positive rates of anxiety and depression in patients at different times were significantly different(χ^(2)=238.8,16.3,P<0.05).Conclusion:In this study,the levels of anxiety and depression in patients with acute myocardial infarction within one month before and after PCI are repeatedly measured.The patient’s emotional problems caused by stress in the first week after surgery are the most serious.The pressure is gradually reduced.Nursing staff should strengthen psychological counseling in the early postoperative period,and it is particularly important to give patients psychological support.