| Objectives1 To investigate the current situation of negative emotions,coping styles and sleep quality in patients with coronary heart disease after PCI.2 To explore the influencing factors of negative emotions,coping styles and sleep quality in patients with coronary heart disease after PCI.3 To analyze the correlation between negative emotions,coping styles and sleep quality in patients with coronary heart disease after PCI.MethodsThis study was a descriptive study.Random sampling method was used to select patients with coronary heart disease after PCI in three tertiary hospitals in Changsha City from April to September 2018.Self-designed general information questionnaire,irritability,self-rating depression and anxiety scales(IDA),medical coping questionnaire(MCMQ)and Pittsburgh Sleep Quality Index(PSQI)were used to investigate the patients.A total of 203 questionnaires were sent out and202 valid questionnaires were retrieved,with a recovery rate of 99.5%.Statistical software SPSS 20.0 was used to analyze the collected data: all the data obeyed normal distribution after analyzing,and the general data of patients with coronary heart disease after PCI were described by frequency and composition ratio.The mean,standard deviation and composition ratio were used to describe the current status of negative emotion,coping style and sleep quality of patients with coronary heart disease after PCI;t-test,chi-square test,one-way analysis of variance and logistic regression analysis were used to analyze the influencing factors of negative emotion,coping style and sleep quality of patients with coronary heart disease after PCI;Pearson correlation analysis method was used to analyze the correlation between negative emotion,coping style and sleep quality in patients with coronary heart disease after PCI.The statisticalsignificance of the statistical test in this study was statistically significant at P≤0.05.Results1 The IDA score of patients with coronary heart disease after PCI was(17.01±7.60).The incidence of negative emotions was 63.8%.The incidence of depression,anxiety and irritation were 39.6%,8.4% and15.8% respectively.The score of depression dimension in patients over 60 years old after PCI was(6.45±3.10),which was higher than that in patients under 60 years old(P < 0.05).The differences in the total score,depression dimension and introversion stimuli of patients with coronary heart disease after PCI in different families per month were analyzed.The F values of variance analysis were 5.664,5.646 and 4.958,respectively,and the difference was statistically significant(P < 0.01).The anxiety scores of patients with unemployed coronary heart disease after PCI were higher than those of the practitioners.The scores were(4.85±2.78)points and(3.95±2.53)points respectively.The total score of IDA in patients with unregistered coronary heart disease after PCI was higher than that of the practitioners.The scores were(17.78±7.83)points and(15.32±6.82)pointsrespectively,and the difference was statistically significant(P<0.05).2 The scores of face dimension in MCMQ of patients with coronary heart disease after PCI were(16.91±4.20)points,lower than the norm,and the scores of avoidance dimension and yield dimension were higher than the norm,with scores of(14.37±2.50)points and(9.78±3.53)points respectively.The t-test values were 57.25,81.93 and 39.39 respectively,with significant difference(P<0.05).The scores of the yield dimension of female and male patients were(10.59±3.59)and(9.43±3.46)respectively,and the females were higher than males,the difference was statisticallysignificant(P<0.05).The score of yield dimension in patients over 60 years old was higher than that in patients under 60 years old,and the scores were(10.17±3.72)and(9.13±3.11),respectively,with significant difference(P < 0.05).The face dimension score of undergraduates and above with education level was the highest(20.70±5.06)and the yield dimension score of illiterate patients with education level was the highest(12.75±3.22),the difference was statistically significant(P < 0.05).Married patients with spouses scored higher in the face dimension than in the yield dimension,with scores of(17.18±4.13)and(9.49±3.42),the difference was statistically significant(P < 0.05).In the unemployed patients with coronary heart disease after PCI,the scores were lower in the face dimension(16.52±4.39),but higher in the avoidance and yield dimension(14.60±2.53)and(10.17±3.77)respectively,with significant difference(P<0.05).The patients whose family average monthly income was more than 5000 yuan had the highest score in the face dimension(17.32±4.71)and those whose family average monthly income was less than 1000 yuan had the highest score in the yield dimension(11.03±2.73),with significant difference(P < 0.05).After PCI,the patients with coronary heart disease had higher scores in the face dimension(18.33±4.13)and lower scores in the yield dimension(8.69±3.12),with statistical significance(P < 0.05).After PCI,the patients with coronary heart disease who were very supported by their friends scored the highest(17.86±4.20)in the face,while the lowest score was in the yield dimension(9.27±3.57),the difference was statistically significant(P <0.05).After PCI,patients with normal sleep had a higher score in the face dimension(17.97±4.24)and a lower score in the yield dimension(8.55±2.95).The difference was statistically significant(P<0.05).3 The total PSQI score of patients with coronary heart disease after PCI was(10.62±4.34).160 patients had PSQI score greater than or equal to7 among 202 cases,and the incidence of sleep disorders accounted for79.2%.The PSQI score of patients with coronary heart disease after PCI was higher than that of Chinese norm,and the difference was statistically significant(P<0.05).Among the dimensions measured by PSQI,daytime function(dimension 7)scored the highest(3.78±1.95);sleep efficiency(dimension 4)and sleep prolongation(dimension 3)scored the second(1.80±1.18)and(1.80±1.03)respectively,and the three dimensions scored the top three.The results of logistic regression analysis showed that the factors affecting sleep quality were age,drinking and tea drinking.The Exp(β)of age and alcohol consumption were 0.346 and 0.420,respectively,both <1,Exp(β)= 2.758>1,PSQI score is inversely proportional to sleep quality,it indicated that age and alcohol consumption were risk factors for sleep quality,and tea drinking was a protective factor for sleep quality.4 The total IDA score of patients with coronary heart disease after PCI was positively correlated with the total PSQI score(r = 0.520,P<0.05).The higher the PSQI score,the worse the sleep quality.That is to say,the negative emotions of patients with coronary heart disease after PCI were negatively correlated with the sleep quality.The anxiety and depression dimensions of IDA were positively correlated with the total score of PSQI,and the r values were 0.474 and 0.611,respectively.That is to say,anxiety and depression were negatively correlated with sleep quality,and the difference was statistically significant(P < 0.05).The yield dimension score of MCMQ was positively correlated with PSQI total score(r=0.488,P < 0.05).That is to say,negative coping was negatively correlated with sleep quality;face dimension score was negatively correlated with PSQI total score(r =-0.251,P<0.05).That isto say,positive coping was positively correlated with sleep quality.The scores of anxiety and depression dimensions in IDA were negatively correlated with MCMQ’s face dimension scores,and the r values were-0.169 and-0.418,respectively.That is to say,negative emotions were negatively correlated with positive coping styles(P<0.05);the scores of anxiety and depression dimensions in IDA were positively correlated with MCMQ’s yield dimension scores,and the r values were 0.488 and 0.614,respectively.That is to say,negative emotions were positively correlated with negative coping styles.The difference was statistically significant(P<0.05).Conclusions1 Most patients with coronary heart disease after PCI have negative emotions such as anxiety and depression.Gender,education level,working status and sleep disorder were the main influencing factors of anxiety;age,education level,marital status,family monthly income and sleep disorders were the main influencing factors of depression.2 Patients with coronary heart disease after PCI tend to adopt negative coping styles such as yielding and avoiding.Gender,age,education level,marital status,work status,monthly household income,exercise status,friends’ support and sleep status were the main influencing factors of coping style.3 Sleep quality of patients with coronary heart disease after PCI was at a poor level.Gender,age,educational level,marital status,working status,family monthly income,smoking,drinking,drinking tea,drinking tea frequency,exercise,exercise frequency,complications,coronary artery distribution were the main influencing factors of sleep quality.Binary logistic regression analysis showed that age,whether drinking and whether to drink tea were independently related to the quality of sleep.4 Negative emotions of patients with coronary heart disease after PCI were negatively correlated with sleep quality.5 Negative coping styles were negatively correlated with sleep quality in patients with coronary heart disease after PCI,while positive coping styles were positively correlated with sleep quality.6 There was a positive correlation between negative emotions and negative coping styles in patients with coronary heart disease after PCI,but a negative correlation between negative emotions and positive coping styles. |
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