Investigation of the Negative Emotions Exhibited in Patients with Coronary Heart Disease After PCI and Any Influencing Factors

Abstract

Purpose To understand existing negative emotions in patients with coronary heart disease after percutaneous coronary stent implantation (PCI) and analyse its influencing factors. Methods Patients with coronary heart disease after PCI in three tertiary hospitals in Changsha City from April to September 2018 were selected as the research subjects. The self-designed general information questionnaire assessed irritability, depression and anxiety (IDA) on a self-rating scale. It was used to examine patients’ existing negative emotions with coronary heart disease after PCI and analyse the influencing factors. Results 203 questionnaires were distributed, and 202 valid questionnaires were recovered, with an effective recovery rate of 99.5%. The IDA score of patients with coronary heart disease after PCI was 17.01±7.60 points, the incidence of negative emotions was 63.8%, and the incidences of depression, anxiety and irritability were 39.6%, 8.4% and 15.8%, respectively. Negative emotion was taken as the dependent variable and a patient’s general data, such as lifestyle and disease, as the independent variables. A univariate analysis was conducted to obtain gender, age, educational level, marital status, work status, per capita monthly household income, sleep status, etc. Seven factors were identified as the influencing factors of negative emotions in patients with coronary heart disease after PCI, and the difference was statistically significant (P<0.05). Conclusion Most patients with coronary heart disease after PCI tend to exhibit negative emotions such as anxiety and depression. Medical staff should attach great importance to evaluating any negative feelings in this group and take timely targeted intervention measures to prevent and mitigate the occurrence and development of these adverse emotions in patients with coronary heart disease after PCI.

Research Progress on the Depression Status and Nursing Intervention in Patients after Percutaneous Coronary Intervention

“…According to Lu [15] , the incidence of depression in 98 post-PCI patients was as high as 54.08%. Yang [16] investigated post-PCI patients with CHD in three hospitals in Changsha, and found that the incidence rate of post-PCI patients harboring negative emotions (including depression, anxiety, and irritability) was 63.8%, with depression being the highest at 39.6%. A 6-month longitudinal observational study [17] found that more than half of post-PCI patients experienced constant anxiety and depression for 6 months.…”

“…The proportion of patients with poor cardiac function admitted to the hospital was significantly higher than those with good cardiac function. This is because patients with higher cardiac function grades had increased restrictions on bodily activities [16] . Bodily functions are often related to psychology.…”

Effects of empowerment education on patients after percutaneous coronary intervention: A meta-analysis and systematic review

“…[2] However, PCI is only a mechanical recanalization of vessels, which cannot fundamentally correct the risk factors (such as smoking, hypertension, hyperlipidemia, etc.). [3,4] In addition, many patients after PCI still suffer from chest tightness, fatigue and other uncomfortable symptoms due to various factors, such as the lack of knowledge of CHD, fear of the operation, anxiety and depression, [5] which bring huge troubles to their lives. [6] Therefore, it is important for patients after PCI to accept effective nursing education mode for postoperative rehabilitation.…”