Psychological intervention for patients before and after percutaneous transcoronary angioplasty and stenting / 中国组织工程研究

ABSTRACT

OBJECTIVE: To explore the effect of psychological restoration methods on antianxiety of middle-aged patients after percutaneous transcoronary angioplasty (PTCA) and stenting. METHODS: From August 2005 to October 2008, 60 patients underwent PTCA and stenting in First Affiliated Hospital of Xinxiang Medical College were selected, who had heart function of grade 1 or 2, certain capacities of understanding and self-care. They were randomly divided into two groups, namely, intervention group (24 males and 6 females, aged46-59 years) and control group (23 males and 7 females aged 46-58 years). The patients in the Intervention group received different psychological restoration according to their condition before and after surgery and psychological education for their anxiety, horror, depression and self-abasement. The patients in the control group were treated using normal methods. The anxiety extent of the patients before and after operation in two groups was assessed with Zung Self Rating Anxiety Scale (SAS) and Symptom Checklist 90 (SCL-90). High scores represented high extent of anxiety. RESULTS: The 60 patients were included in the final analysis. The scores of two scales in intervention group before and after intervention were significantly less than control group (P < 0.01). The scores of SAS on the day of operation were significantly reduced than before operation in intervention group (P < 0.01), and postoperative scores were significantly reduced compared with those on the day of operation (P < 0.01 ). In addition, some factors of SCL-90 in intervention after operation were similar to national norm and significantly reduced than preoperative scores (P < 0.01 ). CONCLUSION: Mental intervention treatment can significantly improve anxiety degree of patients undergoing PTCA and stenting and promote restoration of patients.