老年冠心病患者经皮冠状动脉介入治疗术后焦虑与压力源、社会支持的相关性分析

Correlation analysis of anxiety,stressor and social support in elderly patients with coronary heart disease after percutaneous coronary intervention

中文关键词: 老年  冠心病  经皮冠状动脉介入治疗  焦虑  压力源  社会支持  相关性分析

英文关键词: elderly  coronary heart disease  percutaneous coronary intervention  anxiety  stressor  social support  cor-relation analysis

中文摘要:

      目的 分析老年冠心病患者经皮冠状动脉介入治疗(PCI)术后焦虑与压力源、社会支持间的相关性.方法 回顾性分析2023年1月—2024年1月青岛市胶州中心医院396例老年冠心病PCI术后患者病例资料.根据焦虑自评量表(SAS)评分将患者分为正常组和焦虑组,比较2组的一般资料、SAS评分、压力源评分、压力值及社会支持评定量表(SSRS)评分.通过二元Logistic回归法分析患者PCI术后焦虑的独立影响因素;采用Pearson相关性分析探究PCI术后焦虑与压力源、社会支持间的相关性.结果 396例患者年龄65～77岁,平均(70.9±2.9)岁,其中男性257例,女性139例.111例(28.03％)患者SAS评分＜50分(正常组),285例(71.97％)患者SAS评分≥50分(焦虑组).2组文化程度、月收入、医疗支付方法和居住地差异有统计学意义(P＜0.05).与正常组相比,焦虑组患者PCI次数较少,支架数较多,SAS评分、压力源评分和压力值较高,SSRS评分较低,差异有统计学意义(P＜0.05).二元Logistic回归分析显示,文化程度初中及以下、月收入＜3 000元、支架数≥2个及压力源评分高是老年冠心病患者PCI术后焦虑的危险因素,SSRS评分低是老年冠心病患者PCI术后焦虑的保护因素(P＜0.05).PCI术后焦虑患者的SAS评分与压力源评分和压力值呈正相关(P＜0.05),与SSRS评分各维度均呈负相关(P＜0.05).结论 老年冠心病患者PCI术后焦虑可能与其压力源和获得的社会支持间具有一定相关性.

英文摘要:

      Objective To analyze the correlation between anxiety,stressor and social support in elderly patients with coronary heart disease(CHD)after percutaneous coronary intervention(PCI).Methods The clinical data from 396 elderly CHD patients who underwent PCI in Jiaozhou Central Hospital,Qingdao,between January 2023 and January 2024 were retro-spectively analyzed.They were divided into normal group and anxiety group based on their Self-Rating Anxiety Scale(SAS)scores.The general characteristics,SAS scores,stressor scores,stress levels,and Social Support Rating Scale(SSRS)scores were compared between the two groups.Binary Logistic regression was used to identify independent influencing factors for post-PCI anxiety.Pearson correlation analysis was used to explore the correlation between post-PCI anxiety and stressor and so-cial support.Results The 396 patients were aged 65-77 years(mean 70.9±2.9 years),including 257 males and 139 fe-males.Based on SAS scores,111 patients(28.03％)scored＜50(normal group),and 285 ones(71.97％)scored ≥ 50(anxiety group).There were statistical differences in education level,monthly income,medical payment method,and place of residence between the two groups(P＜0.05).Compared with the normal group,the anxiety group had significantly fewer PCI procedures,more stents implanted,higher SAS scores,higher stressor scores,higher stress levels,and lower SSRS scores(P＜0.05).Binary Logistic regression analysis showed that education level of junior high school and below,monthly income＜3 000 yuan,number of stents ≥ 2 and high stressor score were risk factors for anxiety in elderly CHD patients after PCI,and low SSRS score was a protective factor(P＜0.05).In patients with post-PCI anxiety,SAS scores showed a positive correlation with stressor scores and stress levels(P＜0.05),and a negative correlation with scores of all dimensions of SSRS(P＜0.05).Conclusion There may be a certain correlation between anxiety and stressor and social support in elderly CHD patients after PCI.