Effects of a psychological intervention programme on mental stress, coping style and immune function in percutaneous coronary intervention patients

Abstract

PurposeThis study aimed to assess the effects of a psychological intervention programme on the mental stress, coping style and cortisol and IL-2 levels of patients undergoing percutaneous coronary intervention (PCI).MethodsA total of sixty cardiovascular patients scheduled for PCI with clear anxiety and depression screened by the Hospital Anxiety and Depression Scale were randomly divided into an experimental (n = 30) and control (n = 30) group. The participants in the experimental group received cognitive therapy, relaxation therapy and emotional support. Self-reported questionnaires, including the Self-Report Symptom Checklist (SCL-90) and the Medical Coping Mode Questionnaire (MCMQ), and levels of IL-2 and cortisol were collected at baseline and the day before discharge.ResultsCompared with the controls, patients in the intervention group had a better mental state and coping style (confrontation), higher levels of IL-2 and lower levels of cortisol (all P<0.05).ConclusionsThe psychological intervention programme effectively improved mental state, reduced negative coping styles, increased levels of IL-2, and decreased cortisol levels in patients undergoing PCI. This programme may be an effective preoperative nursing intervention for PCI patients.Trial registrationChinese Clinical Trail Registry ChiCTR-IOR-16007864

Intensive Patients’ Education and Lifestyle Improving Program in CAD Patients

“…On account of high risk of stroke, severe complications, or even sudden death, most CAD patients experience helplessness, hopelessness, or worthlessness, resulting in self-reproaches and grave fear, thereby directly increasing occurrences of anxiety and depression (Benjamin et al, 2018; Fakhr-Movahedi et al, 2015; Mozaffarian et al, 2016; Pelletier et al, 2015). Care intervention programs with one or two intervention measures have been broadly utilized in cardiovascular patients for the purposes of psychological management and prognosis improvement (Fakhr-Movahedi et al, 2015; Pedersen et al, 2015; Shen et al, 2018). For instance, a previous study reveals that patients’ education for 5 days contributes to anxiety and depression level reductions in CAD patients by increasing the patients’ awareness of disease risk factors, disease progression, or therapeutic interventions (Fakhr-Movahedi et al, 2015).…”

Effects of transitional health management on adherence and prognosis in elderly patients with acute myocardial infarction in percutaneous coronary intervention: A cluster randomized controlled trial

“…The variables of age, sex, marital status, education level, income, endovascular stents, comorbidities, and smoking were the adjusted variables in the multivariate Cox model. For all analyses, missing data were transformed by mean imputation[28]. Throughout the analysis, a p-value of less than 0.05 was considered statistically significant.…”

Mental preparation strategies and firefighter’s performance under stress

“…A recent study (2018) used relaxation therapy as one of three psychological intervention programs to assess the effects on mental stress and coping style. This relaxation therapy encompassed: progressive muscle relaxation (PMR), mediation, though guidance, deep breathing and massage [36]. Results revealed that participants in the intervention program improved mental state, reduced negative coping style and showed lower levels of anxiety [36].…”

“…This relaxation therapy encompassed: progressive muscle relaxation (PMR), mediation, though guidance, deep breathing and massage [36]. Results revealed that participants in the intervention program improved mental state, reduced negative coping style and showed lower levels of anxiety [36]. Moreover, Orlick and Partington identified breathing techniques and PMR as two of the most efficient strategies to increase performance [8].…”

“…Moreover, Orlick and Partington identified breathing techniques and PMR as two of the most efficient strategies to increase performance [8]. Besides these two strategies, relaxation in general is investigated in different fields like sports [8,37], medicine [36] and human performance [38], which proved a relationship between relaxation and performance.…”