| BackgroundIn modern medicine, It has generally been considered that coronary heart disease (CHD) was a kind of physical and mental disease. Anxiety has been internationally as an independent risk factor for coronary heart disease and the adverse cardiovascular event (MACE). There are still unresolved issues about the relationship between coronary heart disease and anxiety. There were rarely reported that whether the degree of anxiety has the changes between before and postoperative PCI. The clinical effect in anxiety patients with coronary heart disease after giving psychology intervention was still not clear.ObjectiveTo study psychological change on anxiety patients with coronary heart disease (CHD)after percutaneous coronary intervention and to explore the effect of psychological intervention on anxiety patients with CHD.MethodsAccording to the inclusion and exclusion criteria, a total of320patients with CHD who had undergone PCI in affiliated hospital of Jining medical college were enrolled in this study.The320CHD patients were divided into groups according to the results of self-rating anxiety scale (SAS):anxiety group and non-anxiety group. The selected126anxiety patients with CHD were randomly divided into three groups A、B、C, and42cases in each group. All subjects were administered a standardized questionnaire that provided information, and self-rating anxiety scale was used to assess the anxiety of all the participants. The self-rating anxiety scale(SAS) scores were recorded in three groups before surgery、after one week and one month treatment.Results1. We eventually selected valid questionnaires320subjects, The self-rating anxiety scale (SAS) scores were recorded before surgery. the results:there were126cases patients with anxiety,accounting for39.4%of all the cases.2. The correlation analysis is about general information in patients with coronary heart disease and anxiety:there were significant differences between two groups in sex, age, educational level, smoking history, family history of CHD (P<0.05) And other demographic and clinical characteristics were no significant difference (P>0.05)3The relationship between anxiety and Gensini score:There were significant differences between anxiety group and non-anxiety group in coronary artery lesions(P<0.05), The scores of Gensini between anxiety group and non-anxiety group had statistically significant differences(47.25±19.44VS31.47±8.08, t=5.66, P<0.05).Anxiety had significant positive association with coronary artery lesions and Genisini score (r=0.385and r=0.317,P均<0.05).4. The SAS scores of A group before the operation compare with1week,1month treatment after the operation:There was no significant difference in SAS scores in group A before the operation and after1week、1month treatment[respectively (57.14±5.63)、(55.86±5,46、(53.93±6.03), F=1.123, P>0.05].5. The SAS scores of anxiety group compare with A, B, C groups. Anti-anxiety drug and psychological intervention significantly improve the patient’s negative emotions and reduce the incidence of angina:After1week and1month treatment,the SAS score of C group [respectively (42.79±5.82)points,(33.86±5.05)points] and the SAS score of group B [respectively (49.93±6.63)points,(40.93±6.46) points] were lower than those of group A[respectively(55.86±5.46)points,(53.93±6.03)points], there were significant differences among the three group(P<0.05). Conclusion1. Anxiety was associated with coronary heart disease. It was positively correlated between Anxiety and the extent of coronary lesion in coronary heart disease.2. There were significant differences between anxiety and general information in patients with coronary heart disease in sex, age, educational level, smoking history, family history of CHD.3. There was no significantly improvement in patient’s anxiety after coronary revascularization. Anti-anxiety drug and psychological intervention significantly improve the patient’s negative emotions and reduce the incidence of angina. |
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