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目的分析中青年冠心病患者冠脉介入治疗(PCI)后的精神心理特点,并对其影响因素进行分析。方法将我院收治的136例行PCI术的中青年冠心病患者作为研究对象,使用汉密尔顿焦虑量表(SAS)和汉密尔顿抑郁量表(SDS)调查其精神心理特点,分析引发精神心理障碍的危险因素。结果行PCI术治疗的中青年冠心病患者的焦虑发生率为66.9%、抑郁发生率为63.2%,多因素Logistic回归分析显示社会人际关系、并发症、冠状动脉病变支数是引发精神心理障碍的危险因素。结论行PCI术的中青年冠心病患者存在较为严重的精神心理障碍,临床工作中需加强对社会人际关系较差、并发症多、冠状动脉病变支数较多的患者的临床心理干预。
Objective To analyze the mental and psychological characteristics of middle-aged and young patients with coronary artery disease after coronary intervention (PCI) and analyze the influencing factors. Methods A total of 136 middle-aged and young patients with coronary artery disease undergoing PCI were enrolled in our hospital. The psychosocial characteristics were investigated using the Hamilton Anxiety Scale (SAS) and the Hamilton Depression Scale (SDS) to analyze the risk of mental disorders factor. Results The incidence of anxiety in middle-aged and young patients with coronary heart disease was 66.9% and the incidence of depression was 63.2%. The multivariate Logistic regression analysis showed that social interpersonal relationship, complications and coronary artery lesion count were the causes of mental disorders Risk factors. Conclusions There are more serious mental disorders in young and middle-aged patients with coronary artery disease undergoing PCI. Clinical psychosocial interventions should be strengthened in clinical work in patients with poor interpersonal relationships, multiple complications and large coronary artery lesions.