Nurse-led psychological intervention reduces anxiety symptoms and improves quality of life following percutaneous coronary intervention for stable coronary artery disease

被引：28

作者：

Chang, Zongxia ^{[1
]}

Guo, Ai-qing ^{[1
]}

Zhou, Ai-xia ^{[1
]}

Sun, Tong-Wen ^{[2
]}

Ma, Long-le ^{[2
]}

Gardiner, Fergus W. ^{[3
,4
]}

Wang, Le-xin ^{[1
,5
]}

机构：

[1] Liaocheng Peoples Hosp, Dept Cardiol & Nursing, Liaocheng, Shandong, Peoples R China

[2] Zhengzhou Univ, Affiliated Hosp 1, Dept Gen ICU, Henan Key Lab Crit Care Med, Zhengzhou, Peoples R China

[3] Royal Flying Doctor Serv, Canberra, ACT, Australia

[4] Australian Natl Univ, Canberra, ACT, Australia

[5] Charles Sturt Univ, Sch Biomed Sci, Wagga Wagga, NSW, Australia

来源：

AUSTRALIAN JOURNAL OF RURAL HEALTH | 2020年 / 28卷 / 02期

关键词：

cardiovascular medicine; education and remote practice; international health; mental health; nurse practitioners; PREVALENCE; SF-36;

D O I：

10.1111/ajr.12587

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective To study the effect of nurse-led counselling on the anxiety symptoms and the quality of life following percutaneous coronary intervention for stable coronary artery disease. Design Randomised control trial. Setting Rural and remote China. Participants Rural and remote patients were consecutively recruited from a medical centre located in China between January and December 2014. Interventions The control group received standard pre-procedure information from a ward nurse on the processes of the hospitalisation and percutaneous coronary intervention, and post-procedural care. The intervention group received a structured 30-minute counselling session the day before and 24 hours after the percutaneous coronary intervention, by nurse consultants with qualifications in psychological therapies and counselling. The health outcomes were assessed by a SF-12 scale and the Seattle Angina Questionnaire at 6 and 12 months after percutaneous coronary intervention. The anxiety and depression symptoms were evaluated by a Zung anxiety and depression questionnaire. Main outcome measures Cardiac outcomes, quality of life and mental health status. Results Eighty patients were randomly divided into control (n = 40) and intervention groups (n = 40). There was a significant increase in the scores of the three domains of Seattle Angina Questionnaire 12 months after percutaneous coronary intervention in the intervention group (P < .01). The mental health and physical health scores also increased (P < .01). In the control group, the mean scores of Zung self-rating anxiety scale 12 months following percutaneous coronary intervention were higher than the baseline scores, and higher than in the intervention group (P < .01). Conclusions Counselling by a clinician qualified in psychological therapies and counselling significantly reduces anxiety symptoms and improves quality of life.

引用

页码：124 / 131

页数：8

共 20 条

[1] Effect of percutaneous coronary intervention on quality of life: A consensus statement from the society for cardiovascular angiography and interventions [J].

Blankenship, James C. ;

Marshall, J. Jeffrey ;

Pinto, Duane S. ;

Lange, Richard A. ;

Bates, Eric R. ;

Holper, Elizabeth M. ;

Grines, Cindy L. ;

Chambers, Charles E. .

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2013, 81 (02) :243-259

[2] Stem Cell Therapies for Cardiovascular Diseases: What Does the Future Hold? [J].

Chen, Hai-Ying ;

Strappe, Padraig Michael ;

Wang, Le-xin .

HEART LUNG AND CIRCULATION, 2017, 26 (03) :205-208

[3] Reduced positive affect (anhedonia) is independently associated with 7-year mortality in patients treated with percutaneous coronary intervention: results from the RESEARCH registry [J].

Damen, Nikki L. ;

Pelle, Aline J. ;

Boersma, Eric ;

Serruys, Patrick W. ;

van Domburg, Ron T. ;

Pedersen, Susanne S. .

EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY, 2013, 20 (01) :127-134

[4] An Australian longitudinal pilot study examining health determinants of cardiac outcomes 12 months post percutaneous coronary intervention [J].

Edward, Karen-leigh ;

Stephenson, John ;

Giandinoto, Jo-Ann ;

Wilson, Andrew ;

Whitbourn, Robert ;

Gutman, Jack ;

Newcomb, Andrew .

BMC CARDIOVASCULAR DISORDERS, 2016, 16

[5] Preprocedural concerns and anxiety assessment in patients undergoing coronary angiography and percutaneous coronary interventions [J].

Gallagher, Robyn ;

Trotter, Renee ;

Donoghue, Judith .

EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING, 2010, 9 (01) :38-44

[6] Outpatient cardiac rehabilitation: Patient perceived benefits and reasons for non-attendance [J].

Gardiner, Fergus William ;

Nwose, Ezekiel Uba ;

Regan, Elizabeth ;

Park, Bo Kyung ;

Bwititi, Phillip Taderera ;

Crockett, Judith ;

Wang, Lexin .

COLLEGIAN, 2018, 25 (05) :479-485

[7] Increased prevalence of anxiety and depression symptoms in patients with coronary artery disease before and after percutaneous coronary intervention treatment [J].

Gu, Guoqiang ;

Zhou, Yaqing ;

Zhang, Ying ;

Cui, Wei .

BMC PSYCHIATRY, 2016, 16

[8] Systematic review of health-related quality of life in older people following percutaneous coronary intervention [J].

Hoo, Soon Yeng Soo ;

Gallagher, Robyn ;

Elliott, Doug .

NURSING & HEALTH SCIENCES, 2014, 16 (04) :415-427

[9] Association of Smoking Status With Health-Related Outcomes After Percutaneous Coronary Intervention [J].

Jang, Jae-Sik ;

Buchanan, Donna M. ;

Gosch, Kensey L. ;

Jones, Philip G. ;

Sharma, Praneet K. ;

Shafiq, Ali ;

Grodzinsky, Anna ;

Fendler, Timothy J. ;

Graham, Garth ;

Spertus, John A. .

CIRCULATION-CARDIOVASCULAR INTERVENTIONS, 2015, 8 (05)

[10] A shorter form health survey: Can the SF-12 replicate results from the SF-36 in longitudinal studies? [J].

Jenkinson, C ;

Layte, R ;

Jenkinson, D ;

Lawrence, K ;

Petersen, S ;

Paice, C ;

Stradling, J .

JOURNAL OF PUBLIC HEALTH MEDICINE, 1997, 19 (02) :179-186

← 1 2 →