Influence of self management behavior and anxiety depression in patients with percutaneous coronary interven-tion on post traumatic growth

Zhao Yueyuan; Zhang Aihua

doi:10.3969/j.issn.1009-6493.2016.16.007

Abstract：Objective:To probe into the relationship among self management behavior,anxiety depression and post traumatic growth in patients with percutaneous coronary intervention,so as to provide a theoretical basis for the improvement of the patients’post traumatic growth.Methods:A total of 388 patients with percutaneous coronary intervention in a third grade A hospital received the cross sectional survey with Posttraumatic Growth Inventory(PTGI)、Coronary Artery Disease Self management Scale(CSMS)and Hospitals Anxiety and Depression Scale(HADS).Results:In 388 patients,the patients with anxiety accounted for 60.0%,the pa-tients with depression accounted for 75.5%.The total score of the PTGI in these patients was 59.24±8.16,the HADS score was 17.45±5.71,the total score of CSMS was 70.82±11.83.Self management behaviors were positively correlated with posttraumatic growth(r=0.344,P<0.01),and anxiety depression was negatively correlated with post traumatic growth(r=-0.168,P<0.01).Structural equation modeling analysis showed that self management behavior had a direct impact on the post traumatic growth of patients with percutaneous coronary intervention(P<0.01).Self management behavior had a direct and significant impact on anxiety(P<0.01),and had a indirect impact on the post traumatic growth through the mediating effect of anxiety.Conclu-sion:Patients with percutaneous coronary intervention had a lower level of self management ability and a high-er level of anxiety depression.We should strengthen the self management ability education for coronary heart disease patients in clinical nursing work,improve patients’self care ability,and guide the release of their nega-tive emotions,so as to promote their posttraumatic growth.