PURPOSE:This study aimed to assess the effects of a psychological intervention programme on the mental stress, coping style and cortisol and IL-2 levels of patients undergoing percutaneous coronary intervention (PCI).METHODS:A total of sixty cardiovascular patients scheduled for PCI with clear anxiety and depression screened by the Hospital Anxiety and Depression Scale were randomly divided into an experimental (n = 30) and control (n = 30) group. The participants in the experimental group received cognitive therapy, relaxation therapy and emotional support. Self-reported questionnaires, including the Self-Report Symptom Checklist (SCL-90) and the Medical Coping Mode Questionnaire (MCMQ), and levels of IL-2 and cortisol were collected at baseline and the day before discharge.RESULTS:Compared with the controls, patients in the intervention group had a better mental state and coping style (confrontation), higher levels of IL-2 and lower levels of cortisol (all P<0.05).CONCLUSIONS:The psychological intervention programme effectively improved mental state, reduced negative coping styles, increased levels of IL-2, and decreased cortisol levels in patients undergoing PCI. This programme may be an effective preoperative nursing intervention for PCI patients.TRIAL REGISTRATION:Chinese Clinical Trail Registry ChiCTR-IOR-16007864.

Objective To observe the long-term psychological effects in patients with permanent pacemaker.Methods We included 86 consecutive patients with Permanent pacemaker from January 2009 to January 2010.Telephone follow-up were conducted every 3 months for two years.Zung Self rating Anxiety Scale and Zung Self rating Depression Scale were applied for measurements.The results were evaluated and psychological status of the patients in the respective groups were compared and analyzed.Results No significant difference was found in number of patients with anxiety or depression before discharge,1 year and 2 years after discharge(P<0.01 or P<0.05).Conclusion Long-term and regular follow-up may contribute to alleviating the anxiety and depression symptoms for patients with permanent pacemaker and promoting postoperative rehabilitation.

Objective To study the effects of a psychological intervention mode for patients around period of operation PTCA and stent implantation.Methods Sixty patients from a Grade Ⅲ Class A hospital were enrolled and randomly divided into two equal groups.The control group received routine psychological care.The intervention group(n=30) was treated with measures established by the psychological intervention mode(information intervention,psychological care,mood dredge,cognitive intervention,behavioral intervention). The mental states of the two groups were compared.Results After psychological intervention,the score of anxiety and depression showed a significant reduction in the intervention group compared with the control group(P0.05).The differences of dynamic change in blood pressure and pulse change on different time burns were significantly bigger in the control group than that in the intervention group(P0.01).Conclusions The psychological intervention mode can reduce patients' negative emotions as well as decrease side effects and the complication incidence in patients with coronary heart disease (CHD) who receive the PTCA and stent implantation operation and help them maintain suitable psychosomatic status.