Influence of psychological nursing intervention on psychological stress in patients with coronary heart disease before percutaneous coronary intervention

WANG Yu-lan; DONG Lan; WU Hai-yan; SHI Bing

doi:10.3969/j.issn.1674-4055.2015.05.17

Abstract：Objective To discuss the influence of psychological nursing intervention on psychological stress in patients with coronary heart disease (CHD) before percutaneous coronary intervention (PCI).Methods The patients with CHD (n=80) were chosen from Apr. 2013 to Oct. 2014, and randomly divided into observation group and control group (eachn=40). All patients were given reviews, on the first day of hospitalization, on the severity of anxiety or depression due to psychological stress by using self-rating anxiety scale (SAS) and self-rating depressive scale (SDS) before PCI. The control group was given routine nursing, and observation group was additionally given psychological nursing intervention according to the severity of anxiety or depression of every patient. The severity of anxiety or depression due to PCI was reviewed again by using SAS and SDS, and blood pressure and sleeping were recorded in 2 groups 1 d before PCI. Before discharged from hospital, all patients were given a survey on satisfaction of nursing service by using questionnaire.Results In observation group, anxiety and depression were significantly relieved, and SAS score was (43.6±4.5) in observation group and (57.8±4.4) in control group, and SDS score was (38.7±3.5) in observation group and (49.9±3.2) in control group (allP<0.05). The patients with increased blood pressure (systolic BP and diastolic BP increased about 15 mmHg to 20 mmHg from the baseline) and patients of taking sedative for helping sleeping were significantly less in observation group (20%, 30%) than those in control group (57.5%, 75%). The total satisfaction of nursing service was 97.5% in observation group and 85.0% in control group (allP<0.05).Conclusion Psychological nursing intervention before PCI can improve adaptability to PCI, and relieve anxiety and depression and satisfaction of nursing service in patients with CHD before PCI.