Investigation of depression after percutaneous transluminal coronary intervention in patients with coronary heart disease

Abstract

Objective To explore the risk factors of depression after percutaneous coronary intervention （ PCI ） in patients with coronary heart disease and to provide the basis for clinical nursing intervention . Methods Totals of 300 patients after percutaneous coronary intervention , treated in our hospital from September 2012 to September 2013 were surveyed using the Beck Self Rating Depression Scale （ BDI） , type D Personality Questionnaire （ DS14 ） and self-made questionnaire . According to whether the patients had depression or not , they were divided into the depression group and the non-depression group .Results The BDI score of the depression group was （11.0 ±5.2）, which was significantly higher than （3.5 ±0.6） of the non-depression group （t=2.05, P〈0.05）.The results of univariate analysis showed that gender , age, type D personality , heart function , exercise habits , smoking history , emergency admission , disease diagnosis , personal income and household income were the influence factors of depression after PCI .Further multivariate analysis results showed that age , type D personality , disease diagnosis and exercise habits were the independent risk factors of depression after PCI .Conclusions The age, type D character, unstable angina pectoris and no exercise can significantly increase the risk of depression after PCI of coronary heart disease patients .It is important to give targeted interventions to the risk factors in order to reduce the possibility of depression and improve patients ’ compliance and curative effect . Key words: Coronary heart disease; Interventional therapy; Depression; Risk factors