护理干预对经皮冠状动脉介入后患者合并焦虑抑郁的影响

目的 观察护理干预对冠心病经皮冠状动脉介入（PCI）后患者合并焦虑、抑郁的影响.方法 对2009年12月至2010年1月于北京安贞医院15病房接受PCI治疗的132例患者,分别于入院当天和PCI术后3～4 d采用焦虑自评量表（SAS）及抑郁自评量表进行调查,围手术期进行护理干预.结果 护理干预前患者焦虑、抑郁人数分别为120例（90.9%）与112例（80.4%）,护理干预后焦虑、抑郁人数分别为16例（12.1%）和20例（15.2%）,干预前后差异有统计学意义（均P＜0.01）,干预前后患者焦虑、抑郁分值比较,差异有统计学意义.结论 心理护理、健康教育、心脏康复护理以及社会适应能力等护理干预能有效减轻冠心病PCI术后患者合并焦虑、抑郁程度,促进患者康复.

The influence of nursing interventions on anxiety and depression of patients receiving percutaneous coronary intervention

Objective To observe the influence of nursing interventions on anxiety and depression of patients percutaneous coronary intervention(PCI). Methods A total of 132 clients with coronary artery disease were investigated with Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) before and after nursing interventions. Results Before nursing interventions, 120 clients(90. 9% ) had anxiety and 112 clients(80. 4% ) had depression. After nursing interventions, 16 clients( 12. 1 % ) had anxiety and 20 clients( 15.2% ) had depression. The differences before and after nursing interventions were statistically significant (P <0. 01). Conclusions Nursing interventions such as psychological nursing, healthy education, heart rehabilitated nursing and social adaptability can relieve the anxiety and depression and promote patients' rehabilitations.