| Objective: To explore the effect of the therapy of " psycho-cardiology medicine" on depression after percutaneous coronary stent implantation.Methods: 579 patients after coronary stent implantation were selected,patients with Hamilton Depression Scaled ? 8 points were included in the depression group,the rest were included in the non depression group;the depression group was randomly divided into the intervention group and the control group,patients in the control group were given routine care,patients in the intervention group were given psycho-cardiological care on the basis of routine one,and the scores of Hamilton Depression and Barthel Index Table of the two groups were compared different.Results: 1)19.0% of patients were depressed after PCI;2)Multivariate regression analysis showed that the positive history of previous myocardial infarction may be related to the increased risk of depression after PCI(0R=1.818,P=0.007);3)The total score of HAMD in intervention group was 16.97±5.36,which was higher than that in control group(16.04±4.22,t=1.011,P=0.314);the total score of Bi in intervention group and control group was 87.65±8.31,86.11±9.08,which was not statistically significant(t=0.928,P=0.356);4)After 4 months of intervention,the total score of HAMD in the intervention group was significantly lower than that in the control group(13.42±4.53,P=0.014).The total score of HAMD in the intervention group decreased from 16.97±5.36 to 13.42±4.53 before and after intervention(t=3.351,P=0.000).Routine nursing was used in the control group,although the total score of HAMD decreased,the difference was not statistically significant(t=0.371,P=0.711);5)In the intervention group,25 patients had positive history of previous myocardial infarction.The total score of HAMD decreased from 21.28±5.63 to 16.37±5.11 before and after the intervention,the difference was statistically significant(t=3.229,P=0.002);6)The Bi scores of intervention group and control group were higher than those of four months ago(t=-5.626,t=-6.686,P=0.000).There was no significant difference between the total Bi score of the intervention group and the control group(t=0.127,P=0.899).Conclusions: The history of myocardial infarction is an independent risk factor for depression after coronary stent implantation.Positive ways of psycho-cardiologycare is helpful to improve the depression of patients. |
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