摘要
目的研究分析多因析冠状动脉造影患者经皮冠状动脉介入治疗(PCI)术后焦虑抑郁的高危因素及针对性心理干预的效果。方法回顾性分析PCI术后焦虑抑郁的老年患者48例,选取同时期未发生术后焦虑抑郁的老年PCI患者50例,用单因素分析筛选出术后焦虑抑郁发生的高危因素,并对以上因素进行Logistic回归分析。另选取收治发生术后焦虑抑郁老年PCI患者85例,按随机数字表法将其分为对照组(n=43)及观察组(n=42)。对照组患者采用常规护理模式,观察组患者采用针对性心理干预模式,观察并记录2组患者一般资料,术后焦虑抑郁情况,术后生活质量。结果单因素方差分析显示,不同年龄、BMI、术中低血压、手术时间、低蛋白血症、贫血、高乳酸血症、营养障碍、EF值患者术后焦虑抑郁发生率差异有统计学意义(P<0.05);经多因素Logistic分析,年龄、手术时间、低蛋白血症、贫血、营养障碍、EF值与PCI患者术后焦虑抑郁相关(P<0.05)。2组患者干预前后生活质量评分比较差异有统计学意义(P<0.05),2组患者术前生活质量评分差异无统计学意义(P>0.05),干预后2组患者生活质量评分均较干预前明显升高(P<0.05)。干预后3、6个月观察组患者生活质量评分明显高于对照组(P<0.05);干预前2组患者焦虑抑郁评分差异无统计学意义(P>0.05),干预后3个月2组患者焦虑抑郁评分均较干预前显著降低(P<0.05),观察组患者干预后3个月焦虑抑郁评分均显著低于对照组(P<0.05)。结论年龄、手术时间、低蛋白血症、贫血、营养障碍、EF值是PCI患者术后焦虑抑郁高危因素,针对性心理干预护理模式能有效提高PCI患者术后生活质量,减少焦虑抑郁发生。
Objective To investigate the high-risk factors of anxiety and depression in patients undergoing coronary angiography after percutaneous coronary intervention(PCI)and the effect of targeted psychological intervention.Methods A retrospective analysis was performed on 48 elderly patients with anxiety and depression after PCI,and another 50 elderly patients who underwent PCI and did not have postoperative anxiety and depression during the same period were selected.Univariate analysis was used to screen out the high-risk factors for postoperative anxiety and depression,and the above factors were analyzed using Logistic regression analysis.In addition,85 elderly patients with postoperative anxiety and depression after PCI were selected and divided into control group(n=43)and observation group(n=42)according to the random number table method.The patients in the control group were treated with routine nursing care,and the patients in the observation group were treated with targeted psychological intervention.The general data,postoperative anxiety and depression,and postoperative quality of life of the patients in the two groups were observed and recorded.Results Univariate analysis showed that there were statistically significant differences in the incidence of postoperative anxiety and depression in patients with different ages,BMI,intraoperative hypotension,duration of operation,hypoproteinemia,anemia,hyperlactemia,nutritional disorders,and EF values(P<0.05).According to multivariate Logistic analysis,age,duration of operation,hypoproteinemia,anemia,nutritional disorders,and EF values were related to postoperative anxiety and depression in patients undergoing PCI(P<0.05).There was a statistically significant difference in the quality of life scores between the two groups of patients before and after intervention(P<0.05).There was no significant difference in the preoperative quality of life scores between the two groups(P>0.05).After the intervention,the quality of life of the two groups was significantly higher than t
作者
范爽
田苹
张立新
FAN Shuang;TIAN Ping;ZHANG Lixin(Beijing Friendship Hospital Affiliated to Capital Medical University,Beijing 101100,China)
出处
《河北医药》
CAS
2022年第2期221-224,共4页
Hebei Medical Journal
