冠心病患者 PCI术后合并抑郁及相关因素调查

目的：探讨冠心病患者经皮冠状动脉介入治疗（ PCI）术后发生抑郁的影响因素，为其临床护理干预提供依据。方法选择2012年9月-2013年9月接受PCI治疗的冠心病患者300例，采用贝克抑郁自评量表（BDI）及D型性格问卷（DS14）及自制问卷进行调查，根据其是否发生抑郁分为抑郁组和未抑郁组，分析抑郁与患者一般资料及性格的关系。结果冠心病介入治疗后合并抑郁症状的发生率为40％，抑郁组BDI评分（11．0±5．2）分，明显高于未抑郁组评分（3．5±0．6）分，差异具有统计学意义（t＝2．05，P＜0．05）。单因素分析结果表明：性别、年龄、D型性格、运动习惯、心功能、吸烟史、急诊入院、疾病诊断、个人收入和家庭收入是冠心病PCI术后患者发生抑郁的影响因素。进一步行多因素分析结果表明：年龄、D型性格、疾病诊断和运动习惯是冠心病PCI术后患者发生抑郁的独立危险因素。结论年龄、D型性格、不稳定型心绞痛及不运动可明显增加冠心病PCI术后患者抑郁情绪出现的风险，对于上述可干预的因素进行必要的干预有重要的临床意义。

Investigation of depression after percutaneous transluminal coronary intervention in patients with coronary heart disease

Objective To explore the risk factors of depression after percutaneous coronary intervention （ PCI ） in patients with coronary heart disease and to provide the basis for clinical nursing intervention . Methods Totals of 300 patients after percutaneous coronary intervention , treated in our hospital from September 2012 to September 2013 were surveyed using the Beck Self Rating Depression Scale （ BDI） , type D Personality Questionnaire （ DS14 ） and self-made questionnaire . According to whether the patients had depression or not , they were divided into the depression group and the non-depression group .Results The BDI score of the depression group was （11.0 ±5.2）, which was significantly higher than （3.5 ±0.6） of the non-depression group （t=2.05, P〈0.05）.The results of univariate analysis showed that gender , age, type D personality , heart function , exercise habits , smoking history , emergency admission , disease diagnosis , personal income and household income were the influence factors of depression after PCI .Further multivariate analysis results showed that age , type D personality , disease diagnosis and exercise habits were the independent risk factors of depression after PCI .Conclusions The age, type D character, unstable angina pectoris and no exercise can significantly increase the risk of depression after PCI of coronary heart disease patients .It is important to give targeted interventions to the risk factors in order to reduce the possibility of depression and improve patients ’ compliance and curative effect .