经皮冠状动脉介入治疗后诊断为心肌梗死患者抑郁的预测因素:文献综述。

Mana Doi-Kanno, Hiroki Fukahori
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引用次数: 16

摘要

本研究确定了经皮冠状动脉介入治疗(PCI)的心肌梗死(MI)患者抑郁的相关因素。方法检索PubMed和CINAHL自1946年建立至2014年12月的文献。搜索词是“心肌梗死”、“抑郁症”和“经皮冠状动脉介入治疗”。我们检索了那些在诊断为心肌梗死并接受了典型医疗程序的患者中调查与抑郁相关因素的研究。结果6项研究符合我们的纳入标准。这些研究都没有将样本局限于接受PCI治疗的心肌梗死患者。在诊断为心肌梗死并接受PCI治疗的患者中,确定了21个可能的抑郁危险因素:性别;消极的疾病信念;神经质;自治;基线抑郁评分;既往诊断为抑郁、焦虑或压力;吸烟;婚姻状况;D型人格;程序;住院时间;脂肪摄入量;功能障碍;用于体育活动的时间;社会支持;心绞痛、心肌梗死、冠状动脉搭桥手术、PCI、糖尿病和中风病史。结论本综述提示,在未来的研究中,应考虑这21个因素作为行PCI的心肌梗死患者抑郁的自变量或协变量。
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Predictors of Depression in Patients Diagnosed with Myocardial Infarction after Undergoing Percutaneous Coronary Intervention: A literature review.
AIM This study identified the factors associated with depression in patients diagnosed with myocardial infarction (MI) who underwent percutaneous coronary intervention (PCI). METHODS We searched the literature using PubMed and CINAHL from their inception in 1946 to December 2014. The search terms were "myocardial infarction," "depression," and "percutaneous coronary intervention." Studies which investigated factors associated with depression in patients diagnosed with MI who underwent typical medical procedures were searched. RESULTS Eleven studies met our inclusion criteria. None of these limited their samples to patients with MI who underwent PCI. Twenty-one factors were identified as possible risk factors for depression in patients who were diagnosed with MI and underwent PCI: gender; negative illness beliefs; neuroticism; autonomy; baseline depression scores; previous diagnosis of depression, anxiety, or stress; smoking; marital status; Type D personality; procedure; length of hospital stay; fat intake; functional disability; time engaged in physical activity; social support; and a history of angina, MI, coronary artery bypass graft surgery, PCI, diabetes mellitus, and stroke. CONCLUSIONS This review suggests that these 21 factors should be considered in future studies as possible independent variables or covariates of depression among MI patients who have undergone PCI.
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来源期刊
Journal of Medical and Dental Sciences
Journal of Medical and Dental Sciences Dentistry-Dentistry (all)
CiteScore
0.30
自引率
0.00%
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0
期刊介绍: "Journal of Medical and Dental Sciences" publishes the results of research conducted at Tokyo Medical and Dental University. The journal made its first appearance in 1954. We issue four numbers by the year.
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