男性冠心病病人PCI术后心理状态及其影响因素分析

Analysis of the psychological status and its influencing factors in male coronary heart disease patients after PCI

目的:探讨男性冠心病病人经皮冠状动脉介入治疗(PCI)术后心理状态,并分析其影响因素。方法:选取行PCI手术治疗的男性冠心病病人826例作为研究对象。采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评估病人的心理状态,并根据是否患有焦虑或抑郁进行分组,分析影响病人心理状态的因素。结果:826例男性冠心病病人中,术后发生焦虑、抑郁病人分别为551例(66.71%)、523例(63.32%)。有焦虑组和无焦虑组病人的年龄、冠状动脉病变支数、文化程度差异均无统计学意义(P>0.05),但其社会人际关系、并发症、医疗费用来源及病程差异均有统计学意义(P<0.05~P<0.01)。有抑郁组和无抑郁组病人的年龄、冠状动脉病变支数、文化程度差异均无统计学意义(P>0.05),但其社会人际关系、并发症、医疗费用来源及病程指标上差异有统计学意义(P<0.01)。多因素logistic回归分析结果显示,社会人际关系(较差)、并发症(有)、医疗费用来源(自费)、病程(>2年)是病人PCI术后并发焦虑、抑郁的危险因素(P<0.05~P<0.01)。结论:男性冠心病病人在PCI术后存在较为严重的心理问题,社会人际关系、并发症、医疗费用来源、病程是病人PCI术后并发焦虑、抑郁的危险因素。

Objective:To explore the psychological status of male coronary heart disease patients with after percutaneous coronary intervention(PCI),and analyze its influencing factors.Methods:A total of 826 male coronary heart disease patients treated with PCI surgery were selected as the research objects.The mental state of patients was assessed using the self-rating anxiety scale(SAS)and self-rating depression scale(SDS),the cases were grouped according to the anxiety or depression of patients,and the factors affecting the mental state of patients were analyzed.Results:Among 826 male patients with coronary heart disease,551(66.71%)patents with anxiety and 523(62.32%)patients with depression were found.The differences of the age,number of coronary artery lesions and education level were not statistically significant(P>0.05),but the differences of the interpersonal relationship,complications,source of medical expenses and course of disease were statistically significant between the anxiety group and non-anxiety patient group(P<0.05 to P<0.01).The differences of the age,number of coronary artery lesions and education level were not statistically significant(P>0.05),but the differences of the interpersonal relationship,complications,source of medical expenses and course of disease were statistically significant between the depression group and non-depression patient group(P<0.01).The results of multivariate logistic regression analysis showed that the poor social interpersonal relationship,complications,source of medical expenses at his own expense,and course of disease more than 2 years were the risk factors of anxiety and depression in patients after PCI(P<0.05 to P<0.01).Conclusions:The male patients with coronary heart disease have relatively serious psychological problems after PCI.The social interpersonal relationship,complications,sources of medical expenses and course of disease are the risk factors of anxiety and depression after PCI.