摘要

【摘要】
目的：研究综合护理对于老年女性冠心病（CHD）患者经皮冠状动脉支架植入术（CSI）后合并焦虑抑郁情绪及生活质量的影响。

方法：将104例CSI后并发焦虑抑郁情绪的老年女性患者按数字随机法分为两组：对照组（n=52）予以常规治疗与护理，观察组（n=52）在此基础上予以综合护理。护理前及护理后6个月，采用Zung焦虑自评量表（SAS）、抑郁自评量表（SDS）评价焦虑抑郁情绪，采用西雅图心绞痛量表（SAQ）及简明健康调查量表（SF-36）评价生活质量，比较主要不良心血管事件（MACE）发生率。

结果：护理6个月后，两组SAS、SDS评分均显著降低，且观察组显著低于对照组（P<0.05）；两组SAQ及SF-36各领域评分均显著提高，且观察组显著高于对照组（P<0.05）；观察组的MACE发生率为5.77%，显著低于对照组的19.23%（P<0.05）。

结论：综合护理能够缓解老年女性CHD患者CSI术后焦虑抑郁情绪，改善生活质量并减少MACE发生率。

关键词：冠心病；焦虑；抑郁；经皮冠状动脉支架植入术；老年；女性；生活质量；综合护理

ABSTRACT

Abstract
Objective: To explore the effect of comprehensive nursing on the anxiety-depressive emotion and quality of life in senile female coronary heart disease (CHD) patients after intracoronary stent implantation(CSI).

Methods: A total of 104 senile female CHD patients with anxiety-depressive emotion after CSI were enrolled and randomly divided into two groups:The control group (n=52) received routine treatment and nursing, the observation group (n=52) received comprehensive nursing on this basis. Before and 6 months after nursing,the anxiety-depressive emotion were evaluated by Zung Self-Rating Anxiety Scale (SAS) and self-rating depression scale (SDS),the quality of life was evaluated by Seattle Angina Questionnaire (SAQ) and Short Form Health Survey (SF-36),the incidence of major adverse cardiovascular events (MACE) between the two groups were conducted and compared.

Results: 6 months after nursing,the scores of SAS and SDS in both groups were significantly reduced,and these in observation group were significantly lower than the control group (P<0.05); The scores of SAQ and the SF-36 in all areas were significantly improved, and these in observation group were significantly higher than the control group (P<0.05); The MACE rate was 5.77% in observation group,significantly lower than 19.23% in the control group(P<0.05).

Conclusion  : Comprehensive nursing can relieve the anxiety and depression psychology of senile female CHD patients with CSI, improve quality of life and reduce the incidence of MACE.

Key words: Coronary heart disease; Anxiety; Depression;Intracoronary stent implantation;Dlderly; Female; Quality of life; Comprehensive nursing