Effect Of Focusing Mode On The Negative Emotion And Uncertainty Of Disease In Patients With Coronary Heart Disease After PCI

ObjectiveClinical intervention of patients with coronary artery disease after PCI was performed by focused mode,from the patient’s own advantages and resources,mobilize the patient’s initiative,reduce the patient’s negative emotions and disease uncertainty,the patient’s negative emotions include the patient’s anxiety and depression change patient behavior.MethodsSelected since December 2015-June 2016,IN Qingdao a tertiary hospital cardiovascular medical collection after PCI success operation 110 cases patients and voluntary participate in clinical intervention research signed informed consent;By random number table were divided into control group and intervention group consisted of55 people,In the follow-up process,2 people quit,4 persons lost to follow-up,eventually each group of 52 people;Control group and intervention group were before the intervention to fill in Self-rating anxiety scale(SAS)and self-rating depression scale(SDS),Mishel uncertainty in illness scale(MUIS)as well as general information on scale;Patients in the control group received conventional health education,intervention group received conventional health education focusing on the basis of clinical intervention in solving experiments;Two groups of patients discharged from hospital the same day to fill in MUIS scale;One month after discharge,the telephone was followed weekly and continued outside the hospital,To the hospital to fill in SAS,SDS;3 months after discharge every 2 weeks of telephone follow-up 1 and outside the hospital for continuous intervention,back to the hospital review patients to fill out the SAS,SDS,medication compliance scale,and the collection of various biochemical indicators and hospital smoking,drinking,exercise.Results1.There were no significant differences in the baseline data such as age,sex,educational level,and so on.There was no significant difference in baseline data such asanxiety score,depression score and disease uncertainty score(P> 0.05).2.Coronary heart disease patients after PCI by clinical focus model after intervention,patients in the control group and the intervention group in the discharged from hospital the same day uncertainty in illness scores and its dimensions’ scores,the other was a significant difference(P<0.01);And compared with the sense of uncertainty in illness in patients with postoperative day was a significant difference(P<0.01);3.Followed up for 1 month,3 months after coronary heart disease patients after PCI,Anxiety and depression in control group and intervention Group score compare with significant differences(P<0.01);4.Followed up for 1 month,3 months after twice reviewed the risk factor indicators,control group and intervention group with significant differences(P>0.05);the mean value of the intervention group compared with the control closer to the normal range;5.Patients discharged from 3 months to check,medication compliance of patients in the control group and the intervention group,as well as smoking,drinking,exercise,only two groups of patients with smoking has no difference in statistics(P>0.05);compliance,drinking,exercise compare with significant differences(P<0.01);ConclusionFocused model of clinical nursing interventions can effectively reduce the postoperative patients with anxiety,depression and a sense of uncertainty;Focus on the solution model can improve the patient’s hospital compliance,but also by relieving the patient’s anxiety and depression to regulate the patient’s lipid index.