经皮冠状动脉内介入治疗对急性心肌梗死患者住院期间生活质量及应对方式的影响  

Effect of PCI on quality of life and coping style of patients with acute myocardial infarction

作　　者：李燕燕[1] 史铁英[2] 周艳丽[2] 刘启贵[1] 

机构地区：[1] 大连医科大学卫生统计教研室,116044 [2] 大连医科大学第一附属医院护理部,116011

出　　处：《中华现代护理杂志》2013年第20期2365-2368,共4页Chinese Journal of Modern Nursing

摘　　要：目的 了解行经皮冠状动脉内介入治疗（PCI）对急性心肌梗死（AMI）患者住院期间生活质量、焦虑、抑郁状况以及医学应对方式的影响.方法 选取AMI患者200例,按照是否接受PCI术分为PCI组100例和非PCI组100例,采用一般资料问卷、心肌梗死多维度量表、综合性医院焦虑抑郁量表、医学应对问卷在患者出院前进行调查,比较两组差异.结果 PCI组AMI患者住院期间生活质量总分（34.80±19.89）分,非PCI组为（45.54±22.33）分,两组比较差异有统计学意义（t=3.591,P＜0.01）；非PCI组AMI患者焦虑（6.20±3.29）分,抑郁（6.02±3.44）分,均高于PCI组患者[（5.03±3.14）,（4.83±3.28）分],两组比较差异有统计学意义（t值分别为2.572,2.506;P ＜0.05）；两组患者住院期间医学应对方式在屈服维度上差异有统计学意义（P＜0.05）；PCI组与非PCI组面对维度得分相对较高,PCI组患者面对和回避维度得分与常模比较差异无统计学意义（P＞0.05）,屈服维度得分低于常模,差异有统计学意义（t=5.148,P＜0.01）；非PCI组AMI患者在屈服、回避、面对维度得分与常模差异均无统计学意义（P＞0.05）.结论 PCI术可以改善AMI患者住院期间的生活质量,减少AMI患者住院期间的焦虑、抑郁状况；AMI患者住院期间,能够积极面对疾病,但是行PCI术后的AMI患者比非PCI术患者较少地采取屈服的应对方式.Objective To understand the effect of percutaneous coronary intervention on quality of life,status of anxiety and depression,status of medical coping modes of patients with acute myocardial infarction （AMI）.Methods A total of 200 patients with AMI,were recruited and divided into PCI group（n =100） and non-PCI group （n =100） according to them whether received the PCI.The common status questionnaire,the myocardial infarction dimensional assessment scale （MIDAS）,the hospital anxiety and depression scale （HADS）,the medical coping modes questionnaire（MCMQ） were performed among all the participants in 3-4 days before they were discharged from the hospital.Results The life quality score of PCI group was significantly lower than that of non-PCI group [（34.80 ± 19.89） vs （45.54 ± 22.33） ; t =3.591,P 〈 0.01].While the scores of anxiety and depression of the non-PCI group were respectively higher than that of PCI group [（6.20 ± 3.29） vs （5.03 ± 3.14）,（6.02 ± 3.44） vs （4.83 ± 3.28）],and the difference was statistically significant （t =2.572,2.506,respectively; P 〈 0.05）.Significant difference was found in the surrender score of medical coping style between two groups （P 〈 0.05）,and they were had higher score of coping style.No significant difference was found in the score of confront between PCI group and normal group（P 〉 0.05）,but the score of surrender was significantly lower than that of normal group （t =5.148,P 〈 0.01）.No significant difference was found in the scores of surrender,avoid,confront between non-PCI group and norm group （P 〉 0.05）.Conclusions PCI therapy can improve the life quality and reduce anxiety of patients with AMI during hospitalization,and patients with AMI can face with the disease positively,while patients of PCI group using less acceptance coping style than that the non-PCI group ones.

关 键 词：心肌梗死 经皮冠状动脉内介入治疗 生活质量 应对方式 

分 类 号：R542.22[医药卫生—心血管疾病]