本文關(guān)鍵詞：冠心病合并焦慮患者介入治療后心理干預(yù)研究，由筆耕文化傳播整理發(fā)布。

冠心病合并焦慮患者介入治療后心理干預(yù)研究

The clinical emcacy of psychological intervention on coronary heart disease paltents with anxiety after per- cutaneous coronary intervention

[1] [2]

L1 Jin-ping, YANG Zhi-yin. Xinxiang Medical College,Henan 453003, China

[1]新鄉(xiāng)醫(yī)學院,河南453003; [2]濟寧醫(yī)學院,河南453003;

文章摘要：目的探討冠心病合并焦慮患者經(jīng)皮冠狀動脈介入治療（percutaneouscoronaryintervention，PCI）后心理變化，及心理干預(yù)對伴有焦慮癥狀的冠心病患者的臨床療效。方法將入選的126例冠心病合并焦慮的患者隨機分為A、B、C三組。A組為對照組（n=42），B組為抗焦慮藥物組（n=42），，C組為心理干預(yù)聯(lián)合抗焦慮藥物組（n=42），共治療1月。比較三組患者在手術(shù)前、治療1周、治療1月后焦慮自評量表（self-ratinganxietyscale，SAS）的得分。結(jié)果A組治療1周、治療1月后SAS得分[分別為（55，86±5．46）分、（53．93±6．03）分]與手術(shù)前SAS得分[（57．14±5．63）]分比較差異無統(tǒng)計學意義（P〉0．05）。C組治療1周、治療1月后SAS得分[分別為（42．79±5．82）分、（33．86±5．05）分]與B組SAS得分[分別為（49．93±6．63）分、（40．93±6．46）分]均低于A組SAS得分[分別為（55．86±5．46）分、（53．93±6．03）分]，三組之間比較差異有統(tǒng)計學意義（P〈0．05）。結(jié)論冠脈內(nèi)血管再通沒有明顯改善患者的焦慮情緒�？菇箲]藥物治療與心理干預(yù)都可改善患者的焦慮情緒，對提高患者的臨床療效及冠心病的防治有一定指導(dǎo)價值。

Abstr：Objective To study psychological change on anxiety patients with coronary heart disease （CHD） after percutaneous coronary intervention and to explore the effect of psychological intervention on anxiety patients with ChD. Methods The selected 126 anxiety patients with CHD were randomly divided into three groups A, B, C, and 42 cases in each group. Group A of was the control group, group B was the anti-anxiety drug group, group C was the psychological intervention combinded with anti-anxiety drug, and all patients were treated for one month. The self-rating anxiety scale （SAS） scores were recorded in three groups before surgery, after one week and one month treatment . Resluts There was no significant difference in SAS scores in group A before the operation and after 1 week,1 month treatment（respectively（57.14 ＋5.63）, （55.86 ：~5,46）, （53.93 ＋6.03）, P 〉 0.05）. After 1 week and 1 month treatment, the SAS score of group C （ respectively （42.79 ＋ 5.82） points, （33.86 ＋ 5.05 ） points） and the SAS score of group B （ respectively （49.93 ＋ 6.63 ） points, （40.93 ＋ 6.46 ） points） were lower than those of group A （ respectively （ 55.86 ＋ 5.46） points, （ 53.93 _＋ 6.03 ） points）, and there were significant differences among the three groups（P 〈 O. 05） . Conclusion There is no significantly improve- ment in patientg anxiety after coronary revascularization. Anti-anxiety drug and psychological intervention signifi- cantly improve the patientg negative emotions and reduce the incidence of angina.

文章關(guān)鍵詞：

Keyword：:Percutaneous coronary intervention Coronary heart disease Anxiety Psychological in-tervention Aanti-anxiety drug

  本文關(guān)鍵詞：冠心病合并焦慮患者介入治療后心理干預(yù)研究，由筆耕文化傳播整理發(fā)布。