Psychological grading management was associated with reduced anxiety and improved quality of life after emergency PCI, with fear and tension acting as bridge nodes (BridgeExpectedInfluence 0.131).
Does psychological grading management improve anxiety and quality of life in patients after emergency PCI?
Psychological grading management may reduce anxiety and improve quality of life in patients following emergency PCI by targeting specific symptom domains like fear and tension.
This study aims to examine the temporal associations between anxiety symptoms and quality of life (QoL) dimensions in patients undergoing emergency percutaneous coronary intervention (PCI) and describe the changes observed before and after psychological grading management. This single-center quasi-experimental pre-post study included 137 patients who underwent emergency PCI at the First Affiliated Hospital of Xi’an Jiaotong University from January 1, 2023, to January 31, 2024. Anxiety and QoL were assessed before and after psychological grading management using the Hamilton Anxiety Scale (HAM-A) and the Short-Form Health Survey (SF-36), respectively. Fourteen anxiety dimensions and 8 QoL dimensions were analyzed to construct network graphs exploring inter-variable relationships, expected influence, bridge centrality, and network stability. Variables such as role emotional, physical functioning, fear, and tension exhibited high centrality within the network. Fear and tension showed positive associations with certain QoL dimensions, whereas cardiovascular symptoms, gastrointestinal symptoms, and impaired behavioral capacity showed negative associations with QoL. Bridge centrality analysis suggested that fear, tension, cardiovascular symptoms, and gastrointestinal symptoms may function as potential bridge nodes linking anxiety and QoL in this sample. The CS coefficients for OutExpectedInfluence, InExpectedInfluence, and BridgeExpectedInfluence were 0.204, 0.204, and 0.131, respectively. Psychological grading management was associated with reduced anxiety symptoms and improved QoL after emergency PCI. Network analysis identified several symptom domains that may be related to the interplay between anxiety and QoL.
Song et al. (2026) studied Post-emergency percutaneous coronary intervention (PCI) (n=137). Psychological grading management vs. Pre-intervention baseline was evaluated on Anxiety symptoms and quality of life (QoL) dimensions assessed via HAM-A and SF-36. Psychological grading management was associated with reduced anxiety and improved quality of life after emergency PCI, with fear and tension acting as bridge nodes (BridgeExpectedInfluence 0.131).