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The first research purpose of investigation of coronary heart disease (CHD) patients undergoing percutaneous coronary intervention perceived type of discomfort after the intervention (PCI); coronary heart disease patients undergoing PCI before surgery, after the response to changes in the strategy, as well as the capacity to respond; and explore the impact of factors of coronary heart disease PCI patients coping styles and coping ability, provide the basis for the majority of health care workers to develop clinical care strategies. Methods 110 cases of their own before and after the controlled study, subjects select a tertiary level hospitals in Hefei, Anhui Province May 2008 -2009 in May, the successful implementation of the PCI surgery in patients with coronary heart disease (male 61, female 49 cases ). After obtaining informed consent, the application Jalowiec response scale (JCS), psychological Sense of Coherence Scale (SOC-13) and design their own patients after PCI discomfort questionnaire and the patients' general information questionnaire implement unified guidance language conducted a questionnaire survey. Use SPSS17.0 statistical software for statistical analysis of data on the above findings. Results 1.53.64% of patients experienced some of the PCI is related to the perceived discomfort, of which 67.80% of the patients feel the discomfort of two or more. The common PCI patients perceived discomfort: back pain 45 passengers, 39 passengers insomnia, anxiety, irritability 37 people, the puncture site pain 36 passengers, the defecation / urinary difficulties 25 people, 12 people of the lower extremity tingling and difficulty eating people back pain and puncture site pain is considered to be the most unbearable discomfort. Patients with coronary heart disease after PCI eight kinds of coping styles scores improved significantly (P lt; 0.01) in addition to the emotional catharsis (P = 0.464 gt; 0.05) than the preoperative; level of response of patients with sex (evade P = 0.031 lt; 0.05), age (P lt; 0.05), occupation (P lt; 0.05), monthly income (face, optimism, seeking support and conservative P lt; 0.05), marital status (evade P = 0.021 lt; 0.05), payment of medical expenses (seeking support P = 0.020 lt; 0.05) and smoking history (in the face of optimism, to seek support, self-dependent, fatalistic and conservative P lt; 0.05) and perceived discomfort ( seek support P = 0.033 lt; 0.05) related. Optimistic coping style, maximum, average score 2.59 ± 0.98; fatalistic way to use the least, with an average score of 1.15 ± 1.15 compared with preoperative coronary heart disease patients after PCI SOC level (ability to cope) no significant difference (P = 0.532 gt ; 0.05), but with the patient's occupation (F = 10.980, P = 0.000 P lt; 0.01), monthly income (F = 4.411, P = 0.014 lt; 0.05), smoking history (F = 4.027, P = 0.021 lt; 0.05), related to the severity of coronary lesions (F = 6.777, P = 0.002 lt; 0.01), and there is no perception of discomfort (F = -4.645, P = 0.000 lt; 0.01). 4. Affect the PCI patients SOC level (ability to cope) Multiple linear regression analysis: gender, age, education level, marital status, medical expenses, payment methods, economic status (monthly income), smoking history, disease history, coronary lesions on coronary heart disease patients undergoing PCI after SOC level (ability to cope) has no effect, no perception and patients occupation with their SOC level (ability to cope) PCI after linear regression. Coronary heart PCI patients with no perceived discomfort of its postoperative SOC level (ability to cope), the regression coefficient of -0.513. Conclusion. Vast majority of PCI patients there will be different kinds of perceived discomfort, and postoperative care to promote patient comfort, care work. 2.PCI postoperative response in patients with coronary heart disease significantly increased the level (except emotional catharsis outside), and a variety of factors (the patient's gender, age, marital status, occupation, monthly income, medical expenses payment, etc.) affect coronary heart PCI patients with different responses to application, it should strengthen the PCI in patients with post-operative instructions, patients are encouraged to use more appropriate response to relieve stress. 3.PCI after surgery, no significant changes in the level of coronary heart disease in patients with SOC (ability to cope). The main factors to affect the level of post-PCI SOC (coping capacity): there is no perceived discomfort and patients occupation, perceived discomfort is the most important factor to affect the response capacity of the PCI patients. Recommendations: strengthen the patient's psychological guidance for women, senior citizens, widowed, low-income and at their own expense, from all sectors of society to give support, care and promote effective coping.
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