Effect of psycho-cardiology treatment on the prognosis of patients with coronary heart disease after percutaneous coronary intervention / 中国基层医药

ABSTRACT

Objective To explore the effect of psycho-cardiology treatment on major cardiac events (MACE) incidence in patients after percutaneous coronary intervention (PCI).Methods From November 2014 to November 2015,200 patients with coronary artery intervention were randomly divided into cardiology treatment group (100 cases) and psycho-cardiology group (100 cases).The psycho-cardiology treatment group was conducted to strengthen the psychological counseling and coronary heart disease and the intervention of common sense education and daily reasonable way of life education for 3 months.The scores of psychological assessment were compared between the two groups after 1 year.The patients of the two groups were followed up for 1 year at the same time.The clinical treatment of hypochondriasis rate and MACE incidence rate were observed in the two groups.Results 3 months after PCI,psycho-cardiology treatment group was treated with psychological counseling and coronary heart disease.The psychological assessment score was significantly lower than that in the control group.At 3 months,the HAMD scores of the control group and the psycho-cardiology group were (23.31 ± 5.91) points,(12.40 ± 3.95) points,there was significant difference between the two groups (t =6.235,P ＜ 0.05).At 3 months,the HAMA scores of the control group and the psycho-cardiology group were (22.29 ± 3.93) points,(12.44 ± 4.13) points,there was significant difference between the two groups (t =7.478,P ＜ 0.05),which were significantly decreased compared to admission.Postoperative follow up of 1 year,the clinical medical hypochondriasis rate of psycho-cardiology treatment group was significantly lower than that of cardiology treatment group.The incidence rate of MACE was significantly lower than that of the control group.Conclusion Mental intervention,coronary heart disease and PCI knowledge education can effectively reduce the negative emotion of patients with coronary heart disease after interventional therapy.The incidence of MACE after PCI operation was significantly lower.