Influence of psycho-cardiologic nursing on depression levels during acute stage in elderly patients after permanent pacemaker implantation
Kang Lihui
Lu Hui
Tao Juan
Li Aijun
Sun Junping
Abstract：Objective To study the relieving effect of psycho-cardiologic nursing on depression levels in elderly patients after permanent pacemaker implantation (PPM) for 3 months. Methods The elderly patients (n=132) undergone PPM were chosen from Department of Cardiology of Beijing Anzhen Hospital from Aug. 2015 to Aug. 2017, and divided randomly into psycho-cardiologic nursing group and routine nursing group (each n=66). The routine nursing group was given standard nursing and psycho-cardiologic nursing group was given routing nursing and psycho-cardiologic nursing. All patients were followed up for 6 times within 3 months after PPM, and given review on depression levels by using Zung Self-Rating Depression Scale (Zung SDS) before and 3 months after PPM. The review scores were compared between 2 groups. Results The percentage of depression patients was similar in 2 groups before PPM [24 (36.4%) vs. 22 (33.3%), P>0.05]. The scores of Zung SDS had no significant difference between 2 groups before PPM (45.54±8.43 vs. 45.78±9.2, P>0.05). After PPM for 3 months, there were 23 (34.8%) depression cases in routine nursing group and 13 (19.7%) in psycho-cardiologic nursing group (P<0.05). The difference in Zung SDS scores was significant between 2 groups after PPM for 3 months [(39.45±8.76) vs. (31.25±8.23), P<0.05]. The depression level was mainly severe in routine nursing group and moderate in psycho-cardiologic nursing group. Conclusion PPM can induce depression commonly in elderly patients before and after the procedure, and psycho-cardiologic nursing can reduce the incidence of postoperative depression.
Keywords：Permanent pacemakerAgednessDepression trendNursing intervention
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 618-620,624 )