摘要
目的探讨系统性心理行为干预对冠心病人的影响。方法将96例冠心病人随机分为研究组(54例)与对照组(42例)。对照组仅进行常规药物治疗和冠心病常规护理;研究组在此基础上进行系统的心理行为干预。2组患者分别于3个月后采用抑郁自评量表(SDS)、焦虑自评量表(SAS)和生活事件评定量表(CES)评定患者焦虑、抑郁症状以及是否有重大生活事件发生,用总体幸福感量表来评价患者的幸福度。并测试血脂、空腹血糖、血压、体重指数,分别计算出2组的住院时间及总住院费用。比较2组患者出院3个月内与冠心病有关的再住院率。结果研究组的住院时间、总住院费用较对照组显著减少(p<0.01);干预3个月后研究组与冠心病有关的再住院率低于对照组(p<0.05)。SDS、SAS、CES和血脂、血糖、血压、体重指数都低于对照组(p<0.01)。结论系统性心理行为干预能明显缓解冠心病患者的负性情绪,提高临床治疗效果。
Objective： To explore the effects of psychological and behavioral intervention on patients with coronary artery disease. Methods： 96 patients with coronary artery disease were randomly divided into 2 groups. The control group （42 cases） was given routine medication and nursing, while the research group （54 cases） was implemented systematic psychological and behavioral intervention based on the routine medication and nursing. The patients of two groups were assessed by SDS, SAS, CES, GWB, and tested the blood-fat, blood-fasting sugar, blood pressure, BMI, and the length of stay, hospital costs and readmission rate three months later. Results： Compare to the control group, the length of stay and hospital costs of research group were decreased significantly（p〈 0.01）, and the readmission rates was lower too（p〈0.05）. The SDS, SAS, CES and the blood-fat, blood-fasting sugar, blood pressure, BMI also lower than control group（p〈0.01）. Conclusion： Psychological and behavioral intervention could relieve the negative emotion of the patients and improve the clinical effect.
关键词
冠心病
焦虑
抑郁
生活质量
心理干预
Coronary Artery Disease
Anxiety
Depression
Life Quality
Psychological Intervention
