摘要
目的探讨心脏介入治疗前后冠心病患者的情绪障碍以及心理干预的效果。方法临床纳入接受PTCA+支架植入术治疗的冠心病患者80例,按照随机数字表法分为研究组与对照组。研究组患者于围手术期间进行渐进性肌肉放松训练,对照组患者不进行渐进性肌肉放松训练。采用焦虑自评量表(Self-Rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating depression scale,SDS)比较干预前后两组情绪变化情况,并对住院期间两组患者心率(HR)及收缩压(SBP)水平进行比较分析。结果治疗后,研究组SAS、SDS评分分别为(33.26±3.89)、(32.48±2.94),对照组SAS、SDS评分分别为(41.98±3.96)、(42.12±3.59),差异均有显著性(P<0.05);研究组术前1天、术中、术后当天、术后3天HR分别为(80.26±2.78)次/分、(85.77±3.16)次/分、(76.61±2.03)次/分、(74.24±2.24)次/分,对照组分别为(84.86±3.12)次/分、(93.81±3.30)次/分、(81.81±2.74)次/分、(75.83±3.29)次/分,差异均有显著性(P<0.05);研究组术前1天、术中、术后当天SBP分别为(123.16±12.94mm Hg)、(132.14±11.25)mm Hg、(115.26±10.66)mm Hg,对照组分别为(129.34±14.69)mm Hg、(143.79±15.14)mm Hg、(126.25±11.61)mm Hg,差异均有显著性(P<0.05)。结论实施PTCA+支架植入术的冠心病患者术前普遍存在焦虑、抑郁等负面情绪,而通过渐进性肌肉放松训练,能够有效缓解患者的焦虑、抑郁情绪。
Objective To observe the emotional disorder and effect of mental intervention for CHD（ coronary heart disease） patients before and after cardiac intervention therapy. Method 80 CHD patients were selected and they received PTCA and stent implantation. The patients were divided into study group and control group according to the random number table method. Through SAS and SDS,the emotional changes before and after intervention was compared. HR and SBP for two groups were analyzed. Result After treatment,the score of SAS and SDS for study group was（ 36. 26 ± 3. 89） and（ 32. 48 ± 2. 94） while the score for control group was（ 67. 98 ± 3. 96） and（ 59. 12± 3. 59）（ P〈0. 05）; before 1d of surgery,during surgery,in the day after operation and after 3d of surgery,HR for stud group was（ 80. 26 ± 2. 78） times / min,（ 85. 77 ± 3. 16） times / min,（ 76. 61 ± 2. 03） times / min and（ 74. 24 ± 2. 24） times/min while HR for control group was（ 84. 86 ± 3. 12） times/min,（ 93. 81 ± 3. 30） times/min,（ 81. 81 ± 2. 74） times / min and（ 75. 83 ± 3. 29） times / min（ P〈0. 05）; before 1d of surgery,during surgery,in the day after operation,SBP for study group was（ 123. 16 ± 12. 94 mm Hg）,（ 132. 14 ± 11. 25） mm Hg and（ 115. 26 ± 10. 66） mm Hg while SBP for control group was（ 129. 34 ± 14. 69） mm Hg,（ 143. 79 ± 15. 14） mm Hg and（ 126. 25 ± 11. 61） mm Hg（ P〈0. 05）. Conclusion During PTCA and stent implantation,the CHD patients generally have the negative emotions of anxiety and depression. The comprehensive mental intervention can efficiently relieve the patient＇s anxiety and depression.
出处
《国际精神病学杂志》
2016年第1期138-141,共4页
Journal Of International Psychiatry
关键词
冠心病
介入术
焦虑
抑郁
心理干预
效果
CHD
Intervention
Emotional Disorder
Mental Intervention
Effect
