The Impact Of Structured Psychological Care On The Psychology Of PCI Patients

The morbidity and mortality of cardiovascular and cerebrovascular diseases are gradually increasing,including coronary heart disease(CHD).CHD is a chronic disease,which has the highest mortality rate in all countries.At present,the most important method to treat CHD to achieve the recovery and recanalization of the patients’ blood vessels is to carry out percutaneous coronary intervention(PCI).PCI has high safety,low injury and superior therapeutic effect,But the related reports confirm that PCI technology can reduce the mortality of patients,and at the same time,it will cause the risk complications of cardiovascular stenosis in different degrees.The routine psychological nursing can not fully understand the needs of patients,so as to alleviate the negative emotions of patients.A total of 120 PCI patients,convenience questionnaire was conducted before operation,and anxiety of patients,depression,people life quality and not certainty of disease,self-rating anxiety scale,self-rating depression scale,quality of life and medical version of uncertainty of disease,point value were used to investigate the influencing factors.According to digital random table method,patients were choosed and divided into control group and observation group.The control group was got convention ideo disease nursing intervention,and there was given structural psychological nursing intervention on the basis of the control group intervention.Self-rating anxiety scale and self-rating depression scale were used for assessment were used depression scale,the quality of overall scale and the version of the disease uncertainty scale were evaluated.The development differences of anxiety,depression and other negative emotions,as well as the development of the quality of life and the disease uncertainty of patients in the two groups was compared one day after admission and four day after surgery.Incidence of adverse cardiovascular events at one month,two month and three month after surgery was analyzed by telephone follow-up.The main findings are as follows:1.Patients have anxiety,depression,high uncertainty of disease and low quality of life before PCI.Patients educational level had significant influence on their mental level and quality of life,the age apparent influence their anxiety and depression,and family monthly income had apparent influence their depression and quality of life,anxiety was associated with patients paid way,disease uncertainty was about how well patients degree of understanding.2.There was no significant difference in anxiety and depression scores between the study group and the control group before PCI intervention.After interventional treatment,the anxiety score of the study group(52.31±4.92)was significantly lower than that of the control group(61.29±5.83),and the depression score of the study group(53.41±4.92)was significantly lower than that of the control group(61.29±5.83).The differences were statistically significant(p < 0.05).3.There was no significant difference in uncertainty of disease and quality of life scores between the study group and the control group before PCI intervention.After interventional treatment,the uncertainty of disease score of(66.29±5.29)in the study group was significantly lower than that of the control group(81.93±5.24).The quality of life score of the study group(80.29±5.29)was significantly higher than that of the control group(71.24±5.18).The difference was statistically significant(p < 0.05).4.There was no significant difference in the incidence of adverse events in the two groups one month and two month after PCI intervention,the incidence of adverse events in the study group(3.33%)was significantly lower than that in the control group(6.67%),and the difference was statistically significant(p < 0.05).Studies have shown that patients have anxiety and depression,uncertainty of disease and low qualityof life,this psychological condition is about patients characteristics,sex,age,educational level and so on have a certain relationship.Structured psychological care can significantly reduce the degree of anxiety and depression in patients with PCI,improve the sense of disease uncertainty and quality of life in patients,and significantly reduce the incidence of cardiovascular adverse events three months after the operation.This nursing method is worthy of clinical promotion and application.