| Purpose:To investigate the incidence of new anxiety and depression after PCI in patients with coronary heart disease and analyze the related factors of anxiety and depression after PCI.Methods:From January 2016 to December 2016,200 patients with coronary heart disease(CHD)who received PCI treatment in the Department of Cardiology,PLA 251 Hospital,who met the inclusion criteria and did not meet the exclusion criteria,were selected(Coronary artery stenosis≥75% or occlusion was confirmed by coronary angiography before operation,all of them had PCI indication).Basic data of patients were recorded: sex,age,education,residence,marital status,smoking history,alcohol consumption history,payment method;past history: hypertension,diabetes mellitus,hyperlipidemia,previous PCI history,whether acute coronary syndrome,Are emergency hands The scores of anxiety,depression and quality of life(QOL)were evaluated by(SDS),depression self-rating scale(SF-36)and(SAS),quality of life scale(SF-36)immediately after PCI(within 24 hours)and one month after PCI.To investigate the incidence of new anxiety and depression after PCI in patients with coronary heart disease.According to preoperative and postoperative,and follow-up whether there are any new anxiety,depression and other diseases were divided into groups,the above records and survey data were compared within and between groups.Excel software is used to establish database and SPSS18.0 software is used for statistical analysis.The descriptive statistical analysis of clinical general data is expressed as frequency and percentage,and the counting data is chi-square test.Correlation analysis,single factor variance analysis,rank sum test and Spearman correlation coefficient(data matrix)were used.)denotes metrological information.Results:1 The incidence of anxiety and depression in patients within 24 hours after operationThe incidence of anxiety and depression were 45.5%(91 / 200),19.50%(39 / 200)and 12.0%(24 / 200)within 24 hours after PCI.They mainly occurred in high age(60 years old),higher education level(secondary school group and junior college group and above),urban residents,smoking patients,patients with basic diseases(hypertension,diabetes,hyperlipidemia),patients with previous history of PCI surgery,Patients with acute coronary syndrome(ACS)and patients undergoing emergency surgery had more stents(> 2)and uninsured patients(P <0.05).2 General distribution of anxiety,depression,or coexisting diseases in patients at 1 month after PCIAt 1 month after PCI,the incidence of anxiety was still 31.0%(62 / 200)higher,and the incidence of depression was similar to that of anxiety and depression(10.5%(21 / 200),8.0%(16 / 200).Mainly in women,college degree or above,urban residents,smoking,hypertension,diabetes,hyperlipidemia,previous history of PCI,acute coronary syndrome,the number of stents placed more than 2,the uninsured population has a higher incidence.There was statistical difference(P < 0.05).3 Distribution of anxiety,depression,or syndromes in patients at different survey nodesThe incidence of anxiety,depression and anxiety and depression were significantly lower than those of 24 hours after operation(P < 0.05),and the incidence of anxiety,depression and anxiety and depression were lower than those of 24 hours after operation(P < 0.05).4 Analysis of the related factors of anxiety,depression and comorbidity in postoperative patients4.1 anxiety related factors in patients after PCIThe results of rank test showed that the incidence of anxiety and the age of the patients were more than 60 years old within 24 hours after operation,and their education level was in middle school.College and above,living in cities,smoking,high blood pressure,diabetes,hyperlipidemia,past PCI,acute coronary syndrome,emergency surgery,and more than 2 stents.The condition of no medical insurance was closely related(P < 0.05).One month after operation,the incidence of anxiety was closely related to age < 60 years,college education level,smoking history,diabetes mellitus,number of stents > 2 and no medical insurance(P < 0.05).4.2 factors associated with depression in patients after PCIThe results of rank test showed that the incidence of depression was correlated with smoking and emergency surgery within 24 hours after operation(P < 0.05).One month after operation,depression was closely related to the history of drinking,smoking,hypertension,hyperlipidemia,past PCI,and no medical insurance(P < 0.05).4.3 factors associated with anxiety and depression coexisting in patients after PCIThe results of rank test showed that within 24 hours after operation,the incidence of anxiety and depression syndromes was associated with the education level of college or above,urban residents.The history of smoking was closely related(P < 0.05).One month after operation,it was found that the incidence of anxiety and depression syndromes was closely related to college education,urban residents,drinking history,diabetes mellitus,hyperlipidemia and previous PCI procedures(P < 0.05).5 Analysis of Spearman correlation coefficient(data matrix)between general data of patients and postoperative anxiety,depression or coexisting diseases.5.1 Correlation analysis of anxiety depression or coexisting disease in 5.1 patients within 24 hours after operationThe analysis of the general data of the patients and the factors related to their stratification and anxiety showed that,immediately after operation(within 24 hours),the incidence of anxiety and the age of the patients were less than 60 years old,and their education level was at the secondary level,the junior college level and above.Living in cities,having a history of smoking,drinking alcohol(yes,no),high blood pressure(yes,no),diabetes(yes,no),hyperlipidemia,past PCI procedures,acute coronary syndrome,emergency surgery,and more than 2 stents,The condition of no medical insurance was closely related(P < 0.05).There was no significant correlation between data distribution and depression.Immediately after operation(within 24 hours),the incidence and age of anxiety and depression syndromes(two levels),college education and above,urban residence,smoking history,diabetes mellitus,and the number of stents were more than 2.The condition of no medical insurance was closely related(positive correlation)(P < 0.05).5.2 Correlation analysis of anxiety depression or coexisting disease in 5.2 patients at one month after operationThe analysis of the general data of the patients and the factors related to their stratification and anxiety showed that at 1 month after operation,the incidence of anxiety and the age of the patients were less than 60 years old,their education level was higher than that of college students,and they lived in cities.No smoking history(negative correlation),alcohol consumption history,hypertension,diabetes mellitus,no hyperlipidemia(negative correlation),no previous PCI procedure(negative correlation),acute coronary syndrome,the number of stents > 2,The condition of no medical insurance(positive correlation)was closely related(P < 0.05 < 0.01).One month after operation,the incidence of depression was closely correlated with the incidence of acute coronary syndrome(negative correlation)and uninsured(positive correlation)(P < 0.05).One month after operation,the incidence and educational level of anxiety and depression coexisting disease were found to be in college or above,smoking history,diabetes mellitus,hyperlipidemia,acute coronary syndrome,and the number of stents were more than 2.The condition of no medical insurance(positive correlation)was closely related(P < 0.05 < 0.01).6 Changes in the quality of life6.1 comparison of quality of life in patients with different states immediately after PCI(within 24 hours)The quality of life(SF-36)scores were evaluated immediately(within 24 hours)in patients without anxiety,depression,anxiety and depression.The results showed that the patients in the anxiety group were in general health after operation.The scores of life vigor,mental health and health were lower than those of patients without anxiety and depression(P < 0.05).In the depression group,the scores of life vitality,social function,mental health and health changes were lower than those of the patients without anxiety and depression(P < 0.05).The scores of physiological function,somatic pain,general health,life vigor,social function,emotional function,mental health and health change in patients with anxiety and depression were lower than those in patients without anxiety and depression(P < 0.05 ±0.01).6.2 Comparison of quality of life among patients with different anxiety and depression at 1 month after PCIThe quality of life(SF-36)scores were evaluated in four types of patients with no anxiety,no depression,anxiety,depression and anxiety and depression.The results showed that the patients in the anxiety group were active in life after operation.The scores of mental health and health changes were lower than those of patients without anxiety and depression(P < 0.05 or 0.01).The scores of life vitality,social function,emotional function and mental health in depression group were lower than those in patients without anxiety and depression(P < 0.05).The scores of physiological function,somatic pain,general health,life vigor,social function,emotional function,mental health and health change in patients with anxiety and depression were lower than those in patients without anxiety and depression(P < 0.05 ±0.01).6.3 comparison of quality of life between patients with anxiety and depression immediately after PCI and 1 month after operationThe scores of quality of life scale(QOL)were improved immediately after operation(within 24 hours)and followed up(1 month),but there was no significant difference between the two time nodes(P > 0.05).Conclusions:The incidence of new anxiety,depression or anxiety and depression in patients with coronary heart disease after PCI is higher than that of the patients’ age,educational background,poor habits of life(smoking),basic diseases(hypertension,diabetes,hyperlipidemia),and previous PCI procedure.The time of operation(emergency),the number of stent placement(more)and the cost of medical insurance reimbursement of patients(no)were closely related to the onset of the disease,mainly manifested in the existence of the above situation,the patient after the new anxiety disorder,depression,Or the incidence of anxiety and depression syndromes showed an increasing trend.Correlation analysis indicated that the patients had positive or negative correlation at different time points after operation because of the above factors.Related,mainly for the existence of the above factors,anxiety,depression is more obvious.The quality of life improved significantly with stent placement. |
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