冠心病病人PCI术后社会支持与希望水平、负面情绪、遵医行为的现状及相关性研究

目的了解冠心病病人经皮冠状动脉介入（PCI）术后社会支持、希望水平、负面情绪、遵医行为现状，探讨冠心病病人PCI术后社会支持与希望水平、负面情绪、遵医行为相关性。方法采用简单随机抽样的方法从PCI术冠心病病人中抽取93例研究对象进行问卷调查，调查内容包括一般信息、社会支持量表（SSRS）、希望量表（HHI）、焦虑量表（SAS）、抑郁量表（SDS）、遵医行为等，分析冠心病病人PCI术后社会支持与希望水平、负面情绪、遵医行为相关性。结果冠心病病人PCI术后社会支持量表得分（41.15±6.48）分、希望水平得分（35.75±5.84）分、焦虑得分为（45.25±5.64）分、抑郁得分为（48.35±6.12）分、遵医行为得分为（4.38±0.87）分。单因素分析发现冠心病病人PCI术后不同家庭月收入组社会支持得分比较，差异有统计学意义（P < 0.05），相关分析显示社会支持得分及各维度得分与焦虑、抑郁得分呈负相关（P < 0.01），与希望水平得分及各维度得分、遵医行为得分呈正相关（P < 0.05~P < 0.01）。多元线性回归分析发现影响冠心病病人PCI术后社会支持的有希望水平、焦虑、抑郁、遵医行为（P < 0.05~P < 0.01）。结论冠心病病人PCI术后社会支持、希望水平、遵医行为处于中等水平，焦虑抑郁也有发生，希望水平、焦虑、抑郁、遵医行为与冠心病病人PCI术后社会支持相关。

Study on the correlation between social support,and level of hope,negative emotion,and compliance behavior in patients with coronary heart disease after PCI

ObjectiveTo investigate the status of social support, level of hope, negative emotion and compliance behavior of patients with coronary heart disease(CHD) after percutaneous coronary intervention(PCI), and further explore the relationship between social support, and level of hope, negative emotion and compliance behavior.MethodsA total of 93 CHD patients treated with PCI were selected using simple random sampling method.The patients were investigated, which included the general information, social support rating scale(SSRs), Herth hope index(HHI), self-rating anxiety scale(SAS), self-rating depression scales(SDS) and compliance behavior.The correlation between social support, and level of hope, negative emotion and compliance behavior of CHD patients treated with PCI was analyzed.ResultsThe scores of social support scale, level of hope, anxiety, depression and compliance behavior in CHD patients treated with PCI were(41.15±6.48) points, (35.75±5.84) points, (45.25±5.64) points, (48.35±6.12) points and(4.38±0.87) points, respectively.The results of univariate analysis showed that the differences of the scores of social support rating scale among different levels of family monthly income CHD patients treated with PCI were statistically significant(P < 0.05).The results of Pearson correlation analysis showed that the social support rating score and each dimension score were negatively correlated with the scores of anxiety and depression(P < 0.01), and positively correlated with the scores of level of hope and each dimension and compliance behavior score(P < 0.05 to P < 0.01).The results of multiple linear regression analysis indicated that the level of hope, anxiety, depression and compliance behavior could affect the social support of CHD patients treated with PCI(P < 0.05 to P < 0.01).ConclusionsThe social support, level of hope and compliance behavior of CHD patients treated with PCI are at a moderate level.The anxiety and depression in part of patients also occur, and the level of hope, anxiety, depression and compliance behaviors are associated with social support.