Correlation Between Sleep Quality,Negative Emotion And Perceived Stress In Patients After PCI

Objective: Coronary heart disease is regarded as a kind of psychosomatic disease,percutaneous coronary intervention(PCI)can not fundamentally cure coronary heart disease,the patients are more in the survival state with the disease.In addition,most patients generally have a series of postoperative manifestations,such as poor sleep quality,easy to produce negative emotions and greater perception of pressure,which are accompanied by surgery,causing a great impact on patients’ postoperative rehabilitation and long-term quality of life.Therefore,in this study,patients with coronary heart disease after PCI were taken as research objects.Through investigating the status quo of their sleep quality,negative emotion and perceived pressure,the influencing factors and correlation of their sleep quality,negative emotion and perceived pressure were analyzed.To provide reference for improving sleep quality and negative mental state,reducing stress perception and promoting health of patients.Methods: In this study,400 patients with coronary heart disease who met the inclusion and exclusion criteria after PCI in PLA 907 Hospital of Yantai City,Shandong Province from December 2021 to October 2022 were selected as investigation objects.Through questionnaire survey,the status quo of sleep quality,negative emotion and perceived stress,influencing factors and the correlation among the three were investigated.The study used the patient General Information Questionnaire,the pittsburgh sleep quality index,PSQI,hospital anxiety and depression scale(HADS)and Chinese Perceived Stress Scale(CPSS)were used for questionnaire survey.Statistical software SPSS26.0 was used to analyze the data.Results: 1.Among the 400 subjects surveyed in this study,the average PSQI total score was(10.26±3.69),with sleep disorders in 288 cases,accounting for 72%;112cases without sleep disorder,accounting for 28%.The results of single factor analysis showed that: Gender,age,working status,place of residence,education level,marital status,monthly income per capita in the family,exercise intensity,exercise duration,adherence to this exercise method for ≥3 months,whether nap,smoking,drinking,whether occasional shoulder and arm pain,tea drinking habit,coronary heart disease course,the number of stent implantation,whether the first PCI,Yes There were statistically significant differences in 21 factors such as hyperlipidemia,chronic gastritis and cardiac function level(P < 0.05),which affected the sleep quality of the subjects.The results of multivariate analysis showed that the sleep quality of patients was positively affected by chronic gastritis,cardiac function grade,adherence to this type of exercise for ≥3 months,and first PCI.Six factors,including tea drinking habit,working status,gender,course of coronary heart disease,place of residence and whether to take a nap,could negatively affect the sleep quality of patients.2.Average total HADS score(17.75±5.55).The scores of each dimension were as follows: HDS-A score(9.46±2.88),HDS-D score(8.29±3.12).Among the 400 subjects,290(72.5%)were anxious.176 cases(44.0%)were depressed.There were223 patients with anxiety and depression,accounting for 55.8%.The results of single factor analysis showed that: Gender,age,working status,place of residence,education level,marital status,per capita monthly family income,payment method of medical expenses,exercise intensity,duration of exercise,nap duration,smoking,alcohol consumption,duration of coronary heart disease,number of stent implantation,whether it was the first PCI,type 2 diabetes,chronic gastritis,and cardiac function of patients after PCI 19 factors such as energy level had statistical difference(P < 0.05),which had an impact on the negative emotion of the survey subjects.The results of multivariate analysis showed that age,type 2 diabetes and education level could positively affect the negative emotions of patients.Two factors,such as residence and gender,can negatively affect patients’ negative emotions.3.The mean total score of CPSS was 23.66±10.71,and the scores of each dimension were as follows: tension score(10.41±4.81),loss of control score(13.24±6.10),and loss of control score was higher than tension score.Among the 400 subjects,266cases(66.5%)had slight stress perception,accounting for the highest proportion.102cases(25.5%)had obvious stress perception;Excessive stress perception in 32 cases(8%).Univariate analysis results showed that there were statistical differences in 11 factors after PCI,such as gender,age,working status,per capita monthly family income(yuan),education level,marital status,exercise intensity,time of exercise,smoking,drinking,postoperative medication type,etc.(P < 0.05),which had an impact on the stress perception of the survey subjects.The results of multivariate analysis showed that age positively affected patients’ perception of stress.Gender and duration of exercise can negatively affect patients’ perception of stress.4.PSQI score was positively correlated with HADS score(r=0.531,P < 0.01).The higher the PSQI score,the worse the sleep quality;The higher the HADS score,the more obvious the negative emotions(anxiety and depression),that is,the sleep quality of patients after PCI is negatively correlated with the negative emotions.5.The total score of PSQI was positively correlated with that of CPSS(r=0.629,P <0.01).The higher the PSQI score,the worse the sleep quality;The higher the CPSS score,the stronger the perceived sense of tension and loss of control,that is,the sleep quality of patients after PCI was negatively correlated with the perceived pressure.6.The total score of HADS was positively correlated with the total score of CPSS(r=0.507,P < 0.01).The higher the HADS score,the stronger the anxiety,depression and other emotions.The higher the perceived pressure score,the more obvious the sense of tension and loss of control,that is,the negative emotion and perceived pressure of patients after PCI are positively correlated.Conclusions: 1.Patients with poor sleep quality after PCI,and most of them have sleep disorders.2.Most patients after PCI have anxiety,depression and other negative emotions,72.5% had anxiety;44.0% had depression;55.8% of the patients suffered from anxiety and depression.3.The perceived level of pressure of patients after PCI is high.66.5% had slight pressure perception,accounting for the highest proportion;25.5% had obvious stress perception;The stress perception is too large in 8%.4.The sleep quality of patients after PCI was negatively correlated with negative emotions;There was a negative correlation between sleep quality and perceived stress after PCI.There was a positive correlation between negative emotion and perceived stress in patients after PCI.