| Objective: To analyze the mental statas of the patients undergonepercutaneous coroaru intervention (PCI). To find out the anxiety anddepression rate of the patients and their influence factors.Methods:216PCI patients were evaluated with Hamilton DepressionScale(HAMD)，Hamilton Anxiety Scale (HAMA)．To compare the anxietyand depression rate the PCI patients with228Coronary heart disease (CHD)patients did not undergo PCI. To analyze the general statas of the patientssuch as gender, age, income, education, hypertension, diabetes, heartfunction, other chronic diseases and their HAMA/HAMD scores.Results:1. the scores of the anxiety and depression scale completed by216PCI patients: the HAMA average score11.96±4.94and the HAMDaverage score8.83±5.21，both higher when compared with the coronaryheart disease patients without PCI (HAMA10.14±4.75， HAMD7.37±4.50)，the difference was significant（P<0.01）.2. In the216PCI patients, the patients without anxiety accouted for18.1%, probable anxiety accouted for42.6%, mild anxiety accouted for 32.4%and severe anxiety accouted for6.9%. The patients withoutdepression accouted for35.2%, probable depression accouted for50.4%,mild deperssion accouted for9.3%and severe depression accouted for5.1%.3. In the216patients undergone PCI, the patients aged over65yearswithout anxiety was12.5%, probable anxiety was39.1%, mild anxiety was39.8%and severe anxiety was9.6%. The incidence of higher educationpatients with anxiety disorders were21.0%,28.4%,39.5%,11.1%. Theincidence of retired patients with anxiety disorders were14.3%,40.9%,37.0%,7.8%. The incidence of patients followed angina pectoris attackafter PCI with anxiety disorders were12.3%,35.1%,36.8%,15.8%. Theincidence of patients suffered significant cardiac insufficiency with anxietydisorders were7.7%,36.5%,44.2%,11.5%. The incidence of patientsaccompanied other chronic systemic diseases with anxiety disorders were11.8%,31.4%,39.2%,17.6%. These groups separately and the differencestatistically significant compared to the control group (P<0.05). In differentgender, living alone, revenue, smoking, previous history of myocardialinfarction, arrhythmia, hypertension, diabetes, vascular lesions and multiplebrace case differences are not statistically significant.(P>0.05).4. In the216patients undergone PCI, the patients aged above65yearswithout depression was25.8%, probable depression was56.3%, milddepression was10.9%and severe depression was7.0%. The incidence of patients living alone with depression disorders were17.1%,57.1%,14.3%,11.4%. The incidence of retired patients with depression disorders were27.3%,56.5%,9.7%,6.5%. The incidence of patients suffered significantcardiac insufficiency with depression disorders were26.9%,48.1%,13.5%,11.5%. The incidence of patients accompanied other chronic systemicdiseases with depression disorders were19.6%,51.0%,15.7%,13.7%.These groups separately and the difference statistically significantcompared to the control group (P<0.05). In different gender, educationlevel, income, smoking, previous history of myocardial infarction,arrhythmia, hypertension, diabetes, vascular lesions and multiple brace casedifferences are not statistically significant (P>0.05).5. Gender, income, smoking, previous history of myocardial infarction,heart failure, arrhythmia, diabetes, high blood pressure, SBp>140mmHg,DBp>90mmHg, using β-receptor blocking Agent number, number ofCoronary lesions, implant stent on incidence of anxiety without apparenteffects, differences are not statistically significant in these groups(P>0.05).Sex, education level, income, smoking, past history of myocardialinfarction, heart attacks, heart failure, arrhythmia, diabetes, high bloodpressure, SBp>140mmHg, DBp>90mmHg, using β-receptor blockingAgent, ACEI drugs, diuretics number, number of Coronary lesions, implantstent on incidence of depression no obvious effect, difference is notstatistically significant (P>0.05). 6. Age, higher education, retirement, angina after PCI, heart failure,ACEI drugs, diuretics, and comorbidities are associated with the degree ofanxiety. Statistically significant (P<0.05). Age, living alone, withcomorbidity in other system are related to depression, with statisticalsignificance (P<0.05).Conclusion: The patients undergone percutaneous coronaryintervention (PCI) have different degree of anxiety or depressionstates．Scores of both the HAMD and the HAMA were significantly higherin the PCI group (P<0．05). The PCI patients have a higher incidence ofanxiety and depressive disorders, the patients without anxiety accouted for18.1%, probable anxiety accouted for42.6%, mild anxiety accouted for32.4%and severe anxiety accouted for6.9%. The older, patients with higheducation, angina pectoris and other chronic diseases were more correlatedto anxiety, while the patient with no partner, angina pectoris and otherchronic diseases were more correlated to depression. |
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