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目的研究心理干预对接受介入治疗的冠心病患者情绪的影响。方法以我院2014年2月至2016年2月期间行经皮冠状动脉介入治疗(PCI)的94例冠心病患者作为研究对象,按入院顺序分为两组,各47例。其中47例患者术后采用常规药物治疗作为对照组,另47例患者在上述基础上进行心理干预作为观察组。观察两组患者术后心理状态、生命体征以及并发症情况。结果治疗前两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)无差异(P>0.05);治疗后观察组SAS、SDS评分均低于对照组(P>0.05)。治疗前两组患者心率(HR)、收缩压(SBP)水平无差异(P>0.05);治疗3 d后观察组HR、SBP水平明显低于对照组(P<0.05)。观察组、对照组并发症发生率分别为4.26%、17.02%,观察组明显较低(P<0.05)。结论冠心病患者介入治疗后给予心理干预可明显提高患者心理状态,降低术后并发症发生率,提高安全性,值得临床应用及推广。
Objective To study the influence of psychological intervention on the emotion of coronary heart disease patients undergoing interventional therapy. Methods 94 patients with coronary heart disease undergoing percutaneous coronary intervention (PCI) between February 2014 and February 2016 in our hospital were divided into two groups according to admission order, 47 cases in each. Among them, 47 patients were treated by conventional drug therapy as control group, and the other 47 patients on the basis of the above mentioned psychological intervention as observation group. The postoperative psychological status, vital signs and complications of the two groups were observed. Results There was no significant difference in self-rating anxiety scale (SAS) and self-rating depression scale (SDS) between the two groups before treatment (P> 0.05). SAS and SDS scores in the observation group were lower than those in the control group after treatment (P> 0.05). There were no significant differences in heart rate (HR) and systolic blood pressure (SBP) between the two groups before treatment (P> 0.05). After 3 days of treatment, HR and SBP levels in the observation group were significantly lower than those in the control group (P <0.05). The incidences of complications in the observation group and the control group were 4.26% and 17.02%, respectively, and the observation group was significantly lower (P <0.05). Conclusion Psychological intervention after coronary intervention in patients with coronary heart disease can significantly improve the psychological status of patients, reduce the incidence of postoperative complications and improve safety, which is worthy of clinical application and promotion.