TỈ LỆ CĂNG THẲNG VÀ TRẦM CẢM CỦA BỆNH NHÂN SAU CAN THIỆP MẠCH VÀNH QUA DA

Abstract

Background: The immediate post-PCI period is associated with significant psychological distress, including stress and depressive symptoms, which may adversely affect recovery and treatment adherence. The Perceived Stress Scale-10 (PSS-10) and Patient Health Questionnaire-9 (PHQ-9) are validated tools for screening stress and depression in the Vietnamese setting. Objective: To determine the prevalence of stress and depression in patients within 24 hours following PCI. Methods: A cross-sectional study was conducted on 98 consecutive patients aged ≥18 years who underwent PCI at the Interventional Cardiology Department of Military Hospital 175 between June 2024 and May 2025. Within 24 hours post-procedure, stress was assessed using PSS-10 (low: 0–13; moderate: 14–26; high: 27–40) and depression using PHQ-9 (minimal: 0–4; mild: 5–9; moderate to severe: ≥10). Data were collected via face-to-face interviews and analyzed descriptively in Microsoft Excel. Results: The mean age was 64.3 ± 10.3 years; 59.2% were male. All patients (100%) exhibited moderate stress (PSS-10 scores 14–26), and none had high stress. Regarding depression, 85.7% had minimal symptoms (PHQ-9 scores 0–4) and 14.3% had mild depression (PHQ-9 scores 5–9); no patients met criteria for moderate or severe depression (PHQ-9 ≥10). No significant association was found between PHQ-9 and PSS-10 scores and factors such as advanced age, gender, educational level, number of comorbidities, or comorbid conditions including hypertension, diabetes mellitus, dyslipidemia, heart failure, atrial fibrillation, or chronic obstructive pulmonary disease. Conclusions: Within the first 24 hours after PCI, moderate stress is universal among patients, and mild depressive symptoms affect 14.3%. These findings underscore the importance of early psychological screening and timely interventions to support recovery and optimize adherence in the immediate post-PCI period.