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目的评估急性冠脉综合征(ACS)患者紧急介入治疗术前心理状态问卷指标变化。方法连续选择近期住院接受紧急介入治疗ACS患者36例(介入治疗组),手术类型为经皮冠状脉动脉内球囊扩张术+支架植入术。29例同期住院未接受紧急介入治疗的同病患者为对照组,介入治疗组在术前接受心“心脏病患者心理状态问卷(HPPQ)”评估,对照组于入选后接受HPPQ测试。结果紧急介入治疗ACS患者的自主健康感维度评分明显低于对照组,而无能为力感、沮丧感和社交障碍感等维度评分均明显高于后者(P均<0.05～0.01)。结论 接受紧急介入治疗ACS患者术前常并拥有较明显的情绪心理异常,心理护理干预不容忽视。
Objective To evaluate the changes of psychological status questionnaire before emergency interventional therapy in patients with acute coronary syndrome (ACS). Methods Thirty-six consecutive patients hospitalized for emergency interventional therapy (intervention group) were enrolled in this study. The type of surgery was percutaneous transluminal coronary angioplasty and stenting. Twenty-nine patients with the same disease who did not receive emergency intervention in the same period were selected as the control group. The intervention group received preoperative HPPQ test, and the control group received HPPQ test after enrollment. Results The scores of voluntary health sense in patients with ACS undergoing emergency intervention were significantly lower than those in control group. The dimensions of symptoms such as powerlessness, depression and social disturbance were significantly higher than those in control group (all P <0.05-0.01). Conclusions ACS patients receiving emergency intervention often have obvious emotional and psychological abnormalities before operation. Psychological nursing intervention should not be neglected.