本文關(guān)鍵詞：心理干預(yù)對老年冠心病介入治療患者情緒障礙的影響　出處：《新疆醫(yī)科大學(xué)》2006年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 老年冠心病 心理干預(yù) 心臟介入治療

【摘要】：目的：了解老年冠心病患者心臟介入(PCI)治療前后的情緒障礙和心理干預(yù)效果。方法：收集2005年11月～2006年9月在我院住院年齡≥60歲的行PCI術(shù)的冠心病患者62例。冠心病診斷符合1979年WHO冠心病診斷標(biāo)準(zhǔn)。隨機(jī)分為對照組和心理干預(yù)組，對所有入選患者均按冠心病常規(guī)治療。對干預(yù)組患者在PCI手術(shù)前后給予綜合心理治療，包括社會和家庭的支持性心理治療，個別心理治療及患者間互相治療。并進(jìn)行兩組間一般情況比較；手術(shù)前后兩組臨床表現(xiàn)的變化分析，以及干預(yù)組和對照組在手術(shù)前后不同時間點(diǎn)心率和血壓變化比較；對所有入選病人焦慮、抑郁狀況采用焦慮、抑郁自評量表進(jìn)行了問卷調(diào)查。抑郁焦慮診斷均符合中國神經(jīng)疾病分類方案與診斷標(biāo)準(zhǔn)。結(jié)果：干預(yù)組和對照組患者年齡、性別的構(gòu)成比以及合并其他心血管疾病之間差異無統(tǒng)計(jì)學(xué)意義(P＞0.05)；干預(yù)組和對照組在術(shù)前失眠、胸悶、納差等臨床表現(xiàn)比較基本無差異，但經(jīng)干預(yù)治療后，干預(yù)組的上述臨床明顯少于對照組(P＜0.05)；術(shù)前兩組心率及收縮壓有上升趨勢，但經(jīng)心理干預(yù)治療后干預(yù)組心率及收縮壓上升幅度明顯低于對照組(P＜0.01)；兩組患者在干預(yù)前SAS和SDS的癥狀評分均無顯著性差異(P＞0.05)，而心理干預(yù)后，干預(yù)組的情緒障礙(SAS 28.09±5.12，，SDS 26.35±4.91)較對照組(SAS 37.60±5.53，SDS 34.62±5.72)明顯改善(P＜0.05)，而減分率顯著增高(P＜0.01)。結(jié)論：綜合心理干預(yù)可以有效地減輕老年冠心病患者接受PCI治療時的焦慮抑郁障礙。
[Abstract]:Objective: to understand the effect of emotional disturbance and psychological intervention before and after the treatment of heart intervention (PCI) in elderly patients with coronary heart disease. Methods: 62 patients with coronary heart disease underwent PCI were collected from November 2005 to September 2006 in our hospital 60 years of age or older patients. The diagnosis of coronary heart disease conforms to the diagnostic criteria of WHO coronary heart disease (CAD) in 1979. The patients were randomly divided into the control group and the psychological intervention group, and all the selected patients were treated with the routine treatment of coronary heart disease. The patients in the intervention group received comprehensive psychotherapy before and after PCI, including social and family supportive psychotherapy, individual psychotherapy and mutual treatment between patients. The general situation and compared between the two groups; changes of clinical manifestations of the two groups before and after operation, and the intervention group and the control group at different time points rate and blood pressure changes before and after the operation; of all the patients with anxiety and depression with anxiety and depression self rating scale questionnaire. The diagnosis of depression and anxiety was in line with the classification scheme and diagnostic criteria of Chinese neuropathy. Results: the intervention group and the control group of patients age and sex ratio as well as the differences between other cardiovascular diseases with no statistical significance (P > 0.05); the intervention group and the control group in the preoperative insomnia, chest tightness, anorexia and other clinical manifestations is basically no difference, but after the intervention, the intervention group was less than the control group (P < 0.05); the two groups preoperative heart rate and systolic blood pressure increased, but the treatment of psychological intervention, the intervention group of heart rate and systolic blood pressure increased significantly lower than the control group (P < 0.01); there were no significant differences between the two groups of patients before intervention SAS and SDS symptom score (P > 0.05), and psychological intervention, the intervention group of mood disorders (SAS 28.09 + 5.12, 26.35 + 4.91 SDS) compared with the control group (SAS SDS 37.60 + 5.53, 34.62 + 5.72) significantly improved (P < 0.05), while the reduction rate increased significantly (P < 0.01). Conclusion: comprehensive psychological intervention can effectively reduce the anxiety and depressive disorder in elderly patients with coronary heart disease when they receive PCI treatment.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2006
【分類號】：R541.4;R395.5

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本文編號：1344137