Course of depression and anxiety in patients undergoing percutaneous coronary intervention and their family caregivers

doi:10.3969/j.issn.1006-7795.2019.01.020

Abstract

Abstract: Objective To follow up the course of anxiety and depression in patients undergoing percutaneous coronary intervention (PCI) and their family caregivers (FCs). Methods Fifty dyads of patients undergoing PCI and their FCs completed self-report questionnaires at three timepoints (before PCI, at discharge, and 1 month after discharge). Depression and anxiety levels were measured by Self-rating Depression Scale (SDS) and Self-Rating Anxiety Scale (SAS). Participants were also asked an open-ended question about their most important current concerns at each interview. Results There were four different characteristics among different groups according to SDS and SAS scores. The percentages of families without psychological distress increased gradually from pre-PCI to 1 month after discharge, for 42%,52% and 54%, respectively. The percentages of families with psychological distress were low at discharge (8%), but were high and similar between before-PCI(12%) and 1 month post-PCI (14%). The percentages of FCs with psychological distress reduced over time for 30%, 26% and 18%, respectively.There were not significant changes in the percentages of patients with psychological distress (range 14%-16%). With the time change, the average SDS and SAS scores of FCs decreased, while those of patients were higher before PCI (12%) and 1 month after discharge than at discharge.The above results were not significant difference (P>0.05). The main symptom complained was sleep disorder in participants who experienced psychological distress. Major concerns of patients and FCs were similar before PCI, but became different after discharge. Conclusion Our study reveals that the overall psychological state of patients and their families are not significantly improved after discharge if they had anxiety or depression before PCI.

Key words: percutaneous coronary intervention, patient, family caregiver, depression, anxiety

CLC Number:

R541.4

Pu Lianmei, Li Ying, Li Hong, Li Xiang, Ruan Yang, Han Fusheng, Tian Chunying, Jin Zenning. Course of depression and anxiety in patients undergoing percutaneous coronary intervention and their family caregivers[J]. Journal of Capital Medical University, 2019, 40(1): 112-118.

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URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2019.01.020

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2019/V40/I1/112

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