Objective To investigate the risk factors for the occurrence of agoraphobia in patients after Percutaneous coronary intervention(PCI)for coronary artery disease,and to construct a relevant prediction model to provide a basis for early clinical identification and intervention of agoraphobia after PCI.Methods This paper was a cross-sectional survey,the clinical data of 141 post-coronary PCI patients were collected,and they were divided into the agoraphobia group(47 cases)and the non-agoraphobia group(94 cases)according to whether or not agoraphobia occurred,and the data of the 2 groups of patients were compared.Multivariate Logistic regression analysis was utilized to identify the risk factors associated with the development of agoraphobia post-PCI.A predictive model was developed,and the predictive value of this model for agoraphobia in post-PCI patients was assessed using the receiver operating characteristic(ROC)curve analysis.Results Comparison of heart failure,family functioning,and self-perceived burden,as well as pain level,fatigue level,and social support level between the agoraphobia group and the non-agoraphobia group showed statistically significant differences(P＜0.05).Logistic regression analysis showed that heart failure(OR=4.104),severe family dysfunction(OR=8.542),severe self-perceived burden(OR=4.043),severe/very severe pain(OR=6.600),severe/very severe fatigue(OR=4.702),and low social support(OR=3.963),were independent risk factors for the occurrence of agoraphobia in patients with coronary artery disease after PCI(all P＜0.05).The ROC curve analysis indicated that the predictive model had a good predictive value for agoraphobia in post-PCI patients:when logit(P)＞11.23,the Area Under the Curve(AUC)value was 0.926,the sensitivity was 87.23％,and the specificity was 89.36％.Conclusions The occurrence of agoraphobia in patients after PCI for coronary artery disease were related to heart failure,family dysfunction,self-perceived burden,pain level,fatigue level,and social support level.Clinically,targeted intervention measures can be developed based on these factors to prevent the onset of agoraphobia in patients with coronary artery disease after PC1.
维普
万方数据