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Background Aortic dissection(AD)is one of the serious diseases that threaten human life. Endovascular aortic ancurysm repair(EVAR),as a first-line treatment of type B AD,has the advantages of short operation time,little trauma,and rapid recovery. Previous studies have paid more attention to the clinical prognosis and imaging changes after endovascular repair of AD,with few focus on the quality of life after operation. The prevalence of coronary heart disease(CHD)has dramatically risen during the past few decades. Percutaneous coronary intervention(PCI)is considered one of the primary approaches for CHD treatment. Anxiety and depression are commonly associated with coronary heart disease(CHD). Psychological problems may be related with occurrence of unhealthy lifestyles and non-adherence to treatment. This study was to explore psychological characteristics and the quality of life and their influencing factors after interventional therapy of AD and CHD.Methods Respectively 100 AD and 100 CHD patients undergoing interventional therapy were investigated with SF-36,self-rating anxiety scale(SAS),self-rating depression scale(SDS)and social support scale. The values of SF-36,SAS,SDS between the AD and CHD group were analyzed. The influencing factors of quality of life were evaluated. Results There was no significant difference in SF-36 score between AD patients after endovascular repair and CHD patients after percutaneous coronary intervention. However,the scores in the dimensions of role-physical(54.00±41.54 vs. 65.25±34.43,P=0.038)and social functioning(74.00±20.69 vs.81.00±20.35,P=0.020)were lower in AD patients than in CHD patients. Multiple linear regression analysis showed that age,occupational status,postoperative time,anxiety,depression,and social support were the influencing factors of life quality in aortic dissection patients. Conclusion Compared with CHD patients receiving percutaneous coronary intervention,quality of life in AD patients after endovascular repair should be paid attention to. It is necessary that a multidisciplinary team including psychological medical staff should be established to manage AD patients.[S Chin J Cardiol 2019;20(3):174-181] 相似文献
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目的探讨不同口服水化方案对急性心肌梗死(acute myocardial infarction,AMI)患者行急诊经皮冠状动脉介入(percutaneous coronary interventions,PCI)治疗后造影剂肾病(contrast-induced nephropathy,CIN)发生的影响。方法选择2015年7月至2018年4月广东省人民医院心血管内科监护室收治的AMI行急诊PCI治疗患者378例,随机分为强化口服水化组(实验组)108例和常规水化组(对照组)270例。两组均在就诊即刻、急诊PCI治疗后24 h、48 h及72 h测定血肌酐值、尿素氮浓度,计算相应估算肾小球滤过率;急诊PCI治疗后72 h比较两组CIN、术后心功能不全等发病率。结果实验组6 h口服水量为(934±317)mL,对照组6 h口服水量为(307±172)mL。两组造影剂用量比较,差异无统计学意义[(99±30)mL vs.对照组(104±31)mL,P0.05]。两组24 h静脉总入量比较,差异无统计学意义[(743±391)mL vs.(823±450)mL,P0.05]。急诊PCI治疗后72 h内CIN发病率:实验组11例,发病率10.19%;对照组59例,发病率21.85%,两组CIN发病率比较,差异有统计学意义(P0.01)。结论 AMI急诊PCI治疗后6 h应用强化口服水化方案可有效减少急诊PCI治疗后CIN的发病率,并且口服量是安全可行的。 相似文献
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目的 了解广东省心血管专业护士的压力知觉及应对方式现状,为制定调节压力与应对方式的管理方案提供借鉴。方法 2021年4—5月对广东省21家综合医院346名心血管专业护士进行问卷调查,并对数据进行分析。结果 346名心血管专业护士压力知觉得分为(41.15±5.57)分,处于较高水平,一般人口学资料对压力知觉(失控感、紧张感及压力知觉总分)及压力应对得分均无影响(均P>0.05);压力应对各分量表得分中解决问题,求助分数较低,得分[M(P25,P75)]分别为0.83(0.75,0.91)、0.70(0.60,0.90)分;退避、合理化、幻想、自责的分数较高,分别为0.50(0.30,0.60)、0.50(0.40,0.60)、0.40(0.20,0.60)和0.20(0.1,0.4)分;紧张感与解决方式、求助成熟型应对方式呈负相关关系,与退避、幻想、自责等的应对方式呈正相关关系(均P<0.01);失控感与退避、合理化、幻想、自责等应对方式呈负相关关系,与解决方式、求助等成熟型应对方式呈正相关(均P<0.01)关系。整体而言压力知觉与成熟型应对方式呈正相关(P<0... 相似文献
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目的回顾性分析冠心病合并焦虑/抑郁症患者的临床资料,以探讨其临床特点及影响因素。方法通过广州市某三级综合医院电子病例系统检索,符合诊断为冠状动脉粥样硬化性心脏病合并焦虑/抑郁症患者信息,检索起止时间为2017年1—12月,检索出91例符合条件并具有完整资料的病例。对照组抽取同期91例单纯冠状动脉粥样硬化性心脏病不合并心理疾病的患者病例。收集2组患者临床资料,对数据进行Logistic回归分析。结果 7 460例冠心病患者中,诊断为冠心病合并焦虑/抑郁症的患者132例,检出率1.77%。小学以下文化、吞咽障碍是冠心病合并焦虑症的危险因素,OR分别为2.604(95%CI:1.296~5.233),5.905(95%CI:1.866~18.686),生活不能自理是冠心病合并抑郁症的危险因素,OR为3.435(95%CI:1.863~13.676)。结论冠心病合并焦虑/抑郁症与生活不能自理、吞咽障碍、小学以下文化有关,临床医护人员应更此类特征患者的焦虑、抑郁问题。 相似文献
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ICU临床专科护士在职培养模式的研究 总被引:1,自引:1,他引:0
目的探讨一套切合临床实际的ICU临床专科护士在职培养模式。方法对符合条件的49名观察组护士进行在职专科护理培训,60名对照组护士接受传统的规范化培训,比较培训前后两组护士的综合能力和自我效能感差异,并调查同行对观察组护士的认同度。结果培训后观察组护士综合能力和自我效能感得分均高于对照组(P0.05或P0.01);同行对观察组护士的认可度较高。结论 ICU专科护士在职培养模式可以培养出理论实践能力及解决临床问题能力强、同行认可度高的ICU专科护士。 相似文献
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