中青年冠状动脉介入患者术前焦虑情绪及其相关因素研究.docVIP

中青年冠状动脉介入患者术前焦虑情绪及其相关因素的研究 　　 　　[摘要] 目的 探讨中青年冠状动脉介入治疗患者术前的焦虑水平，分析其相关因素，以为其进行有效的心理干预提供理论依据。 方法 采用一般资料、焦虑自评量表、社会支持评定表为主要工具，分别对78例中青年冠状动脉介入患者术前进行问卷调查。 结果 中青年冠状动脉介入患者的焦虑明显高于国内常模，不同文化程度、就医状况、经济收入、婚姻状况患者焦虑情绪差异有统计学意义（P＜0.05），且与社会支持及其各个维度呈显著负相关，不同性别的焦虑程度差异无统计学意义（P＞0.05）。 结论 中青年冠状动脉介入患者术前焦虑的发生率较高，且焦虑情绪受其文化程度、就医状况、经济收入、婚姻状况、社会支持程度的影响。 　　[关键词] 冠状动脉介入；焦虑；术前；社会支持 　　[中图分类号] R541.4[文献标识码] A[文章编号] 1674-4721（2014）05（c）-0016-03 　　 　　Study on anxiety and its related factors in patients with preoperative coronary intervention in the young and middle-aged 　　HUANG Qi-hua HE Jie-lan WU He-ling LI Qun-xiao YUAN Zi-wei 　　Department of Cardiology,People′s Hospital of Jiangmen City in Guangdong Province,Jiangmen 529020,China 　　[Abstract] Objective To explore the anxiety level of the young and middle-aged coronary artery interventional treatment for patients with preoperative,and analyze the related factors,in order to provide the theory basis for the effective psychological intervention. Methods A questionnaire survey was conducted by the general information,self rating anxiety scale,social support rating scale as the main tool on 82 young and middle-aged patients before coronary intervention. Results The anxiety level in the young patients before coronary intervention was higher than domestic norm.The anxiety was significantly different between different cultural level,medical status,income,marital status (P0.05). Conclusion Patients before coronary intervention in the young and middle-aged have a higher incidence of anxiety.The emotion of anxiety is influenced by the degree of culture,medical status,income, marital status,social support. 　　[Key words] Coronary intervention;Anxiety;Preoperative;Social support 　　冠心病（cononary heart disease，CHD）是冠状动脉粥样硬化致血管腔狭窄或阻塞和（或）由于冠状动脉功能性改变（痉挛）导致心肌缺血、缺氧或坏死而引起的心脏病[1]。近年来，随着人们生活方式的改变、竞争力和压力的加大，我国CHD发病人群逐年增高并呈年轻化趋势，近10～15年，中青年CHD患者上升了1.5倍[2]。经皮冠状动脉介入治疗（PCI）是目前最为常见和有效的治疗方法之一[3]，能显著提高CHD患者的生存质量[4]。此方法虽然已经相当成熟，因其为有创手术，患者术前仍常会产生焦虑、紧张等负性情绪，从而加重躯体的症状，影响手