| 白铁娟,谌小军,陈芳英,梁洁,周铣,王建辉.经皮冠状动脉介入治疗术后患者智谋水平和抑郁症状的纵向研究[J].四川精神卫生杂志,2024,37(6):562-566.Bai Tiejuan,Shen Xiaojun,Chen Fangying,Liang Jie,Zhou Xian,Wang Jianhui,Level of resourcefulness and depressive symptoms after percutaneous coronary intervention： a longitudinal study[J].SICHUAN MENTAL HEALTH,2024,37(6):562-566 |
| 经皮冠状动脉介入治疗术后患者智谋水平和抑郁症状的纵向研究 |
| Level of resourcefulness and depressive symptoms after percutaneous coronary intervention： a longitudinal study |
| 投稿时间：2024-05-13 |
| DOI：10.11886/scjsws20240513001 |
| 中文关键词: 经皮冠状动脉介入治疗 智谋水平 抑郁症状 交叉滞后模型 |
| 英文关键词:Percutaneous coronary intervention Level of resourcefulness Depressive symptoms Cross-lagged model |
| 基金项目:河北省科技厅科技计划项目（项目名称：PCI术后焦虑抑郁患者多团队合作模式下正念干预策略研究，项目编号：182777154） |
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| 中文摘要: |
| 背景 经皮冠状动脉介入治疗（PCI）术后患者抑郁症状发生率较高，抑郁症状对患者术后康复影响较大。智谋在压力与抑郁之间起重要作用，但在PCI术后患者中，智谋水平对抑郁症状预测作用的研究证据不足。目的 探索PCI术后患者智谋水平与抑郁症状之间的交叉滞后效应，以期为改善PCI术后患者的抑郁症状提供参考。方法 采用随机抽样法，选取2019年9月—12月在唐山市工人医院行PCI术的363例患者。于基线期和术后2年，采用中文版智谋量表（CRS）和中文版冠心病患者抑郁量表（C-CDS）评定智谋水平和抑郁症状。采用结构方程模型分析智谋水平与抑郁症状之间的交叉滞后效应。结果 PCI术后2年，男性患者CRS评分高于女性（t=-19.871，P<0.01），女性患者C-CDS评分高于男性（t=25.557，P<0.01）。患者基线期CRS评分与术后2年CRS评分呈正相关（r=0.550，P<0.01）；基线期C-CDS评分与术后2年C-CDS评分呈正相关（r=0.524，P<0.01）；基线期CRS评分与基线期C-CDS评分和术后2年C-CDS评分均呈负相关（r=-0.717、-0.472，P均<0.01）；术后2年，CRS评分与C-CDS评分呈负相关（r=-0.618，P<0.01）。交叉滞后分析结果显示，基线期CRS评分对术后2年CRS评分（β=0.382，P<0.01）和术后2年C-CDS评分（β=-0.200，P<0.01）的预测作用有统计学意义，基线期C-CDS评分对术后2年C-CDS评分（β=0.381，P<0.01）和术后2年CRS评分（β=-0.235，P<0.01）的预测作用有统计学意义；基线期CRS评分与基线期C-CDS评分相互影响（β=-0.717，P<0.01）。结论 2个时间点患者的智谋水平和抑郁症状之间相互预测的交叉滞后模型成立。基线期智谋水平越高，患者PCI术后2年的抑郁症状越轻；基线期抑郁症状越重，患者PCI术后2年的智谋水平越低。 |
| 英文摘要: |
| Background Patients after percutaneous coronary intervention （PCI） are prone to experience depression， which has been shown to significantly affect patients' quality of recovery in postoperative period. Resourcefulness plays an important role between stress and depression， yet there is insufficient research evidence on the predictive effect of intellectual resourcefulness levels on depressive symptoms among patients undergoing PCI.Objective To investigate the cross-lagged effect between level of resourcefulness and depressive symptoms among patients after PCI， so as to provide references for alleviating depressive symptoms in patients after PCI.Methods A total of 363 patients who had undergone PCI in Tangshan Gongren Hospital from September to December 2019 were selected using random sampling technique. All participants were subjected to complete Chinese Resourcefulness Scale （CRS） and Chinese version of Cardiac Depression Scale （C-CDS） at both baseline and two years after PCI. A structural equation model was constructed to determine the cross-lagged effect between the level of resourcefulness and depressive symptoms in patients.Results Male patients scored higher on CRS （t=-19.871， P<0.01） and lower on C-CDS （t=25.557， P<0.01） after two years of PCI compared with female patients after PCI. Correlation analysis indicated that the baseline CRS score was positively correlated with two years after PCI CRS score （r=0.550， P<0.01）， C-CDS score of baseline was positively correlated with two years after PCI C-CDS score （r=0.524， P<0.01）， baseline CRS score was negatively correlated with C-CDS scores at both baseline （r=-0.717， P<0.01） and two years after PCI （r=-0.472， P<0.01）， and two years after PCI， CRS score was negatively correlation with C-CDS score （r=-0.618， P<0.01）. The cross-lagged analysis revealed that baseline CRS score significantly predicted CRS score of two years after PCI （β=0.382， P<0.01） and C-CDS score of two years after PCI （β=-0.200， P<0.01）. Baseline C-CDS score significantly predicted C-CDS score of two years after PCI （β=0.381， P<0.01） and CRS score of two years after PCI （β=-0.235， P<0.01）. There was a reciprocal relationship between baseline CRS score and baseline C-CDS score （β=-0.717， P<0.01）.Conclusion The established cross-lagged model yields the presence of a reciprocal prediction of level of resourcefulness and depressive symptoms measured in patients at two time points. The higher the baseline level of resourcefulness， the lighter the depressive symptoms experienced by patients two years after PCI surgery.The more severe the baseline depressive symptoms， the lower the patients' level of resourcefulness two years after PCI surgery.［Funded by Project of Hebei Provincial Department of Science and Technology （number， 182777154）］ |
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