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目的评价冠心病患者在常规治疗护理基础上联用心理干预措施后的效果。方法90例冠心病患者随机分为对照组和观察组,对照组采用常规治疗和护理,观察组在此基础上,联用心理干预措施。结束后对两组患者的SAS、SDS评分、心功能及满意度评分进行比较。结果治疗后观察组SAS为(22.6±7.5)分、SDS为(27.4±8.4)分明显低于对照组的SAS(42.3±9.4)分、SDS(46.2±9.7)分,差异均有显著统计学意义(P<0.001)。治疗后观察组LVEF为(49.6±3.5)%、FS为(27.4±1.9)%明显高于对照组的LVEF为(44.3±2.6)%、FS为(21.2±2.1)%,差异均有显著统计学意义(P<0.001)。观察组总满意率为77.78%明显高于对照组的总满意率37.78%,差异有统计学意义(χ2=14.7571,P<0.01)。结论冠心病患者治疗过程中联用心理干预措施无论是对心理健康状况的提高,还是对生活满意度的改善均具有重要意义,而且心理干预措施简单易行、费用极低,无任何的不良反应,建议临床进一步推广。
Objective To evaluate the effect of combined psychological intervention on the basis of routine treatment and care in patients with coronary heart disease. Methods Ninety patients with coronary heart disease were randomly divided into control group and observation group. The control group received routine treatment and nursing. On the basis of this, the observation group was treated with psychological intervention. After the end of the two groups of patients SAS, SDS score, heart function and satisfaction scores were compared. Results After treatment, SAS was (22.6 ± 7.5) points in the observation group and (27.4 ± 8.4) points in the observation group were significantly lower than those in the control group (42.3 ± 9.4) and SDS (46.2 ± 9.7) points, the difference was statistically significant Significance (P <0.001). After treatment, LVEF was (49.6 ± 3.5)% in the observation group and (27.4 ± 1.9)% in the observation group was significantly higher than that in the control group (44.3 ± 2.6%) and (21.2 ± 2.1)% in the observation group Significance (P <0.001). The total satisfaction rate of the observation group was 77.78%, which was significantly higher than that of the control group (37.78%), the difference was statistically significant (χ2 = 14.7571, P <0.01). Conclusion The combination of psychological interventions in the treatment of patients with coronary heart disease is of great significance both for mental health improvement and improvement of life satisfaction, and the psychological interventions are simple and easy, the cost is very low, without any adverse reaction , It is recommended to further promote the clinical.