PCI术后患者心理健康状况与社会支持的相关性研究

The Correlation Study between Mental Health Status and Social Support in Patients after PCI

摘要: 目的：探讨冠心病PCI术后患者心理健康状况及其影响因素，分析心理状况与社会支持的相关性。方法：便利选取2020年6月~2020年10月来我院门诊复查的冠心病PCI术后患者116例作为研究对象，采用一般资料调查表、医院焦虑抑郁量表(HADS)、一般自我效能量表(GSES)、社会支持评定量表(SSRS)对患者进行问卷调查。结果：116例患者中出现不良心理状况52例，占44.8%。Pearson相关分析显示，患者的自我效能感、主观支持及支持利用度与患者的HADS得分呈负相关(P < 0.05)。多元逐步回归分析结果显示植入支架数、自我效能、主观支持是冠心病PCI术后患者不良心理状况的主要影响因素(P < 0.05)。结论：冠心病PCI术后患者心理健康水平较低，其心理健康状况与社会支持水平密切相关。医护人员应该高度重视冠心病PCI术后患者的心理状况，针对性的制定心理护理干预措施，加强对疾病的宣传和教育，降低患者的不良心理程度。

Abstract: Objective: To investigate the mental health status and influencing factors of patients with coronary heart disease after percutaneous coronary intervention. Methods: It is convenient to select 116 patients with coronary heart disease after PCI who came to our hospital for reexamination from June 2020 to October 2020 as the research objects. Intervention were investigated by using the general information questionnaire, Hospital Anxiety and Depression Scale (HADS), General Self-Efficacy Scale (GSES), Social Support Rating Scale (SSRS). Results: Among the 116 patients, 52 had adverse psychological conditions, accounting for 44.8%. Pearson correlation analysis showed that patients’ self-efficacy, subjective support and support utilization were negatively correlated with HADS scores (P < 0.05). Multiple regression analysis showed that the number of stents implanted, self-efficacy and subjective support were the main factors affecting the adverse psychological status of these patients (P < 0.05). Conclusions: The mental health level of patients with coronary heart disease after PCI was low. Medical staff should attach great importance to the psychological status of patients with coronary heart disease after PCI, formulate targeted psychological nursing intervention measures, strengthen the publicity and education of the disease, and reduce the adverse psychological conditions of patients.