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目的探讨急性冠脉综合征(ACS)患者行急诊经皮冠状动脉介入治疗(PCI)术前后的心理变化。方法采用汉密尔顿焦虑抑郁量表进行心理状态评分,观察血运重建患者术前及术后第1、3、5天心理状态的改变。结果对32例手术成功者进行心理状态评分,应答率为100%。术前焦虑者为18例(56.3%),抑郁者为10例(31.3%),术后第1、3、5天患焦虑者分别为20例(62.5%)、21例(65.6%)、15例(46.9%)。术后第1、3、5天患抑郁者分别为10例(31.3%)、11例(34.4%)、9例(28.1%)。术后各组与术前比较,差异均无统计学意义(均P>0.05)。结论ACS患者急诊介入治疗术前后随时间延长患者心理状态没有明显改善。提示仅有成功的介入治疗是不够的,更需要关注心理干预。
Objective To investigate the psychological changes in patients with acute coronary syndrome (ACS) before and after emergency percutaneous coronary intervention (PCI). Methods The Hamilton anxiety and depression scale was used to evaluate the mental status, and the changes of mental status before and after operation were observed. Results 32 cases of surgical success were psychological state score, the response rate was 100%. Preoperative anxiety was 18 cases (56.3%), depression was 10 cases (31.3%), the anxiety were 20 cases (62.5%) and 21 cases (65.6% 15 cases (46.9%). There were 10 (31.3%), 11 (34.4%) and 9 (28.1%) patients with depression on the 1st, 3rd and 5th day postoperatively. No significant difference was found between the groups after operation and before operation (all P> 0.05). Conclusion There was no significant improvement in the psychological status of patients with ACS over time. Tip only successful intervention is not enough, but also need to focus on psychological intervention.