|
|
Impact on anxiety and depression among patients with coronary heart disease after percutaneous coronary intervention |
SUN Yanbo1, TENG Siyong2, LUO Zhenli1, LI Bing1, XUE Xiaojian1 |
1. Department of Cardiovascular Medicine, Yuncheng First Hospital, Yuncheng 044099 China; 2. Center for Coronary Heart Diseases, Fuwai Hospital of Chinese Academy of Medical Sciences, Beijing 100037 China |
|
|
Abstract Objective To evaluate the effect of percutaneous coronary intervention (PCI) on anxiety and depression among patients with coronary heart disease (CHD).Methods A total of 600 CHD patients were divided into the stent group (n = 400) and the non-stent group (n = 200) according to stent implantation during coronary angiography, and 400 cases in the stent group were further divided into the intervention group (n = 200) and the non-intervention group (n = 200) according to post-stenting psychological interventions. The anxiety and depression were scored using self-rating anxiety and depression scales 1 day after admission, 1 day after PCI and at discharge from hospital, and the anxiety and depression scores were compared at different time points.Results The mean age, sex ratio, hemoglobin, total cholesterol, triglyceride, high-density lipoprotein cholesteroland low-density lipoprotein cholesterol levels were comparable among the three groups (P > 0.05). There were no significant differences among the three groups in terms of anxiety or depression scores one day after admission (P > 0.05). One day after PCI, the anxiety and depression scores were significantly higher among CHD patients in the intervention and non-intervention groups than in the non-stent group (P < 0.05), and the anxiety (t = 11.21, P < 0.01; t = 9.96, P < 0.01) and depression scores (t = 8.56, P < 0.01; t = 6.73, P < 0.01) were significantly higher in the intervention and non-intervention groups one day after PCI than one day after admission. At discharge from hospital, there were significant differences among the three groups in terms of anxiety and depression scores (P < 0.05), and the anxiety (t = 21.57, P < 0.01; t = 15.77, P < 0.01) and depression scores (t = 24.33, P < 0.01; t = 15.01, P < 0.01) were significantly higher in the intervention and non-intervention groups at discharge from hospital than one day after PCI, while the anxiety and depression scores were significantly lower among CHD patients in the intervention group than in the non-intervention group (P < 0.05).Conclusion The anxiety and depression are aggravated among CHD patients after PCI, and psychological interventions may alleviate the anxiety and depression.
|
Received: 10 May 2021
|
|
|
|
|
[1] Sanchis-Gomar F, Perez-Quilis C, Leischik R, et al. Epidemiology of coronary heart disease and acute coronary syndrome[J]. Ann Transl Med, 2016, 4(13): 256. DOI: 10.21037/atm.2016.06.33 [2] Vilahur G, Badimon JJ, Bugiardini R, et al. Perspectives: The burden of cardiovascular risk factors and coronary heart disease in Europe and worldwide[J]. Eur Heart J Suppl, 2014, 16(suppl A): A7-A11. DOI: 10.1093/eurheartj/sut003 [3] Arciero TJ, Jacobsen SJ, Reeder GS, et al. Temporal trends in the incidence of coronary disease[J]. Am J Med, 2004, 117(4): 228-233. DOI: 10.1016/j.amjmed.2004.04.008 [4] Mensah GA, Roth GA, Fuster V. The global burden of cardiovascular diseases and risk factors: 2020 and beyond[J]. J Am Coll Cardiol, 2019, 74(20): 2529-2532. DOI: 10.1016/j.jacc.2019.10.009 [5] Joseph P, Leong D, McKee M, et al. Reducing the global burden of cardiovascular disease, part 1: the epidemiology and risk factors[J]. Circ Res, 2017, 121(6): 677-694. DOI: 10.1161/CIRCRESAHA.117.308903 [6] Meng Khoo C, Tai ES. Trends in the incidence and mortality of coronary heart disease in Asian Pacific region: the Singapore experience[J]. J Atheroscler Thromb, 2014, 21(Suppl1): S2-S8. DOI: 10.5551/jat.21_sup.1-s2 [7] Pagan E, Chatenoud L, Rodriguez T, et al. Comparison of trends in mortality from coronary heart and cerebrovascular diseases in north and south America: 1980 to 2013[J]. Am J Cardiol, 2017, 119(6): 862-871. DOI: 10.1016/j.amjcard.2016.11.040 [8] Vaartjes I, O'Flaherty M, Grobbee DE, et al. Coronary heart disease mortality trends in the Netherlands 1972-2007[J]. Heart, 2011, 97(7): 569-573. DOI: 10.1136/hrt.2010.206565 [9] Al-Lamee RK, Nowbar AN, Francis DP. Percutaneous coronary intervention for stable coronary artery disease[J]. Heart, 2019, 105(1): 11-19. DOI: 10.1136/heartjnl-2017-312755 [10] 陈三保, 李毅, 裘淼涵, 等. 肝素与比伐芦定对女性冠心病患者经皮冠状动脉介入治疗影响比较[J]. 临床军医杂志,2021,49(3):246-250 Chen SB, Li Y, Qiu MH, et al. Effects of heparin and bivalirudin on percutaneous coronary intervention in women with coronary heart disease[J]. Clin J Med Off, 2021, 49(3): 246-250 [11] Roohafza H, Sadeghi M, Khani A, et al. Psychological state in patients undergoing coronary artery bypass grafting surgery or percutaneous coronary intervention and their spouses[J]. Int J Nurs Pract, 2015, 21(2): 214-220. DOI: 10.1111/ijn.12234 [12] Furuya RK, Costa Ede C, Coelho M, et al. Anxiety and depression among men and women who underwent percutaneous coronary intervention[J]. Rev Esc Enferm USP, 2013, 47(6): 1333-1337. DOI: 10.1590/S0080-623420130000600012 [13] Davidson PM, Salamonson Y, Rolley J, et al. Perception of cardiovascular risk following a percutaneous coronary intervention: a cross sectional study[J]. Int J Nurs Stud, 2011, 48(8): 973-978. DOI: 10.1016/j.ijnurstu.2011.01.012 [14] Dudek D, Datka W, Iwek MS, et al. The quality of life related to depressive symptoms in coronary artery disease patients after successful coronary angioplasty: one-year follow up[J]. Psychiatr Pol, 2007, 41(2): 229-242 [15] 方云华, 陈善佳, 周小炫, 等. MoCA、MMSE、NCSE等6个脑卒中认知康复评价工具的使用现状调查[J]. 中国康复,2014,29(1):40-42. DOI: 10.3870/zgkf.2014.01.012 Fang YH, Chen SJ, Zhou XX, et al. Investigation on the use of 6 cognitive rehabilitation assessment tools[J]. Chin J Rehabilitation, 2014, 29(1): 40-42. DOI: 10.3870/zgkf.2014.01.012 [16] 王文菁, 许明智. 焦虑自评量表在精神疾病患者中的因子结构研究[J]. 广东医学,2009,30(10):1416-1418. DOI: 10.13820/j.cnki.gdyx.2009.10.069 Wang WJ, Xu MZ. Factorial structure of the self-rating anxiety scale patients with psychosis diseases[J]. Guangdong Med J, 2009, 30(10): 1416-1418. DOI: 10.13820/j.cnki.gdyx.2009.10.069 [17] 苏占清, 康冰, 邵伟波, 等. 脑卒中后焦虑、抑郁自评量表测评的临床研究[J]. 现代康复,2001,5(3):20-21. DOI: 10.3321/j.issn:1673-8225.2001.03.006 Su ZQ, Kang B, Shao WB, et al. A clinical study of post stroke evaluation with SAS and SDS[J]. Mod Rehabilitation, 2001, 5(3): 20-21. DOI: 10.3321/j.issn:1673-8225.2001.03.006 [18] 戴玫, 曾雪峰, 王超, 等. 慢性阻塞性肺疾病合并冠心病患者支架植入前后抑郁焦虑情绪调查[J]. 中国呼吸与危重监护杂志,2015,14(5):439-441. DOI: 10.7507/1671-6205.2015109 Dai M, Zeng XF, Wang C, et al. Analysis of depression and anxiety in patients with chronic obstructive pulmonary disease complicated coronary artery disease before and after percutaneous intracoronary arterial stenting[J]. Chin J Respir Crit Care Med, 2015, 14(5): 439-441. DOI: 10.7507/1671-6205.2015109 [19] 孙毅, 张权宇, 刘威, 等. 经皮冠状动脉介入治疗术后冠心病患者合并焦虑和(或)抑郁对预后影响[J]. 临床军医杂志,2020,48(5):518-520,525. DOI: 10.16680/j.1671-3826.2020.05.11 Sun Y, Zhang QY, Liu W, et al. Effects of anxiety and/or depression on the clinical prognosis of patients with coronary artery disease after percutaneous coronary intervention[J]. Clin J Med Off, 2020, 48(5): 518-520,525. DOI: 10.16680/j.1671-3826.2020.05.11 [20] Zhang PY. Study of anxiety/depression in patients with coronary heart disease after percutaneous coronary intervention[J]. Cell Biochem Biophys, 2015, 72(2): 503-507. DOI: 10.1007/s12013-014-0495-2 [21] 任节, 钱钧, 毛建华. 冠状动脉介入手术对冠心病患者心理状态影响[J]. 中华全科医学,2010,8(9):1158-1159. DOI: 10.16766/j.cnki.issn.1674-4152.2010.09.030 Ren J, Qian J, Mao JH. Effect of interventional operation on mental state in patients with coronary heart disease[J]. Chin J Gen Pract, 2010, 8(9): 1158-1159. DOI: 10.16766/j.cnki.issn.1674-4152.2010.09.030 [22] 金晓萍, 陈绍良, 单守杰, 等. 介入治疗对冠心病患者焦虑和抑郁状态的影响[J]. 实用心电学杂志,2009,18(2):89-90. DOI: 10.13308/j.issn.1008-0740.2009.02.054 Jin XP, Chen SL, Shan SJ, et al. Psychological testing of patients with coronary heart disease before and after interventional operation[J]. J Pract Electrocardiol JS, 2009, 18(2): 89-90. DOI: 10.13308/j.issn.1008-0740.2009.02.054 [23] Kala P, Hudakova N, Jurajda M, et al. Depression and anxiety after acute myocardial infarction treated by primary PCI[J]. PLoS One, 2016, 11(4): e0152367. DOI: 10.1371/journal.pone.0152367 [24] 马跃文, 刘畅, 朱佳琪, 等. 心脏康复促进冠状动脉搭桥术后患者体能恢复及不良情绪改善[J]. 中国动脉硬化杂志,2012,20(6):536-540. DOI: SUN:KDYZ.0.2012-06-013 Ma YW, Liu C, Zhu JQ, et al. The effects of rehabilitation on improving the physical capacity and ameliorating emotional disorders in patients of coronary artery bypass grafting[J]. Chin J Arterioscler, 2012, 20(6): 536-540. DOI: SUN:KDYZ.0.2012-06-013 [25] 张月安, 朱利军, 曾晓霞, 等. 个体化认知行为干预对经皮冠状动脉介入治疗术后患者负性情绪及预后的影响分析[J]. 中国药物与临床,2016,16(1):62-64. DOI: 10.11655/zgywylc2016.01.025 Zhang YA, Zhu LJ, Zeng XX, et al. Impact of individualized cognitive behavioral interventions on negative emotions and prognosis among patients with percutaneous coronary intervention[J]. Chin Remedies Clin, 2016, 16(1): 62-64. DOI: 10.11655/zgywylc2016.01.025 [26] 席明霞, 唐朝, 覃琴, 等. 认知行为干预对经皮冠状动脉支架植入术后患者负性情绪的影响[J]. 当代护士,2015(7):33-35. DOI: CNKI:SUN:DDHZ.0.2015-07-017 Xi MX, Tang (C/Z), Qin Q, et al. Impact of cognitive behavioral interventions on negative emotions among patients with percutaneous coronary stenting[J]. Today Nurse, 2015(7): 33-35. DOI: CNKI:SUN:DDHZ.0.2015-07-017
|
[1] |
WANG Lichao, WANG Lizhi, ZHANG Xing, XIAO Xiao, LI Juan, LAI Mingyao, WEN Lei, ZHOU Zhaoming, CAI Linbo. Psychological intervention in alleviating anxiety for radiation treatment of pediatric central nervous system (CNS) tumor patients[J]. , 2019, 28(6): 721-724,729. |
|
|
|
|