The effect of perioperative psychological intervention on postoperative depression in patients undergoing daytime percutaneous coronary intervention

Zhao Yi; Zhang Xiwei

doi:10.3760/j.issn.1673-4777.2024.07.006

Abstract：Objective To explore whether psychological intervention can effectively reduce the incidence of postoperative depression in patients undergoing percutaneous coronary intervention(PCI)during the perioperative period.Methods A total of 266 patients with coronary atherosclerotic heart disease who underwent daytime PCI in Beijing Anzhen Hospital,Capital Medical University from September to October 2023 were enrolled.The patients were randomly divided into the psychological intervention group(136 cases)and the control group(130 cases).Patients in the control group were only given routine nursing during the perioperative period,while patients in the psychological intervention group were given perioperative psychological intervention in addition to routine nursing.The Hamilton Depression Rating Scale(HAMD)24-item version was used to assess patients'depressive mood postoperatively.Patients with HAMD score ≥21 were defined as having postoperative depression.Results The proportion of patients with HAMD score ≥ 21 at discharge in the psychological intervention group was lower than that in the control group[11.8％(16/136)vs 20.8％(27/130)](P＜0.05).The results of multivariate Logistic regression showed that after adjusting for potential confounding factors,psychological intervention was an independent influencing factor for the occurrence of postoperative depression in patients,and had a protective effect(odds ratio=0.41,95％confidence interval:0.20-0.85,P=0.017).Conclusion Perioperative psycho-logical intervention can reduce the incidence of postoperative depression in patients with daytime PCI.