心脏介入手术前患者心理问题调查  

Investigations of psycho problems before interventional operation on patients with heart diseases

作　　者：许志亮[1] 王振英[1] 霍素芬[1] 

机构地区：[1]新乡医学院第二附属医院,河南新乡453002

出　　处：《临床心身疾病杂志》2006年第1期46-47,共2页Journal of Clinical Psychosomatic Diseases

摘　　要：目的探讨心脏介入手术前患者的恐惧、焦虑等负性情绪与心理干预效果。方法将62例行介入治疗的心脏病患者随机分为研究组32例和对照组30例,两组均于通知手术日的当天和手术前1d采用焦虑自评量表评定;研究组术前给予心理干预,对照组不做心理干预;对调查结果进行组间和组内前后比较。结果两组第1次评定无显著性差异(t=2．02,P>0. 05);研究组干预前后差异极显著(t=5．23,P<0．01);对照组前后2次评定无显著性差异(t=2．04,P>0．05);研究组干预后与对照组第2次评定比较,差异有极显著性(t=4．43,P<0．01)。结论心理干预可增强心脏介入术患者的自信心,消除或减轻焦虑情绪,保证介入术的顺利进行。Objective To explore such negative emotion as phobia and anxiety as well as effectiveness of psycho intervention in patients with heart diseases before interventional operation. Methods 62 patients were randomly divided into research（n= 32） and control（n= 30） group and assessed with the Self-rating Anxiety Scale（SAS） on the day of informed operation and before operation; psycho-interventions were conducted before operations in the research group; findings were compared between 2 groups and pre-and post-psycho-intervention of intra-group. Results There was no significant difference in first rating between the 2 groups（t=2.02, P〉0.05）; compared between pre-and post-operation, there was most significant difference in the research group（t=5.23,P〈0.01）, but no in the control group（t= 2.04,P〉0.05）; after psycho-intervention, there was most significant difference in the second rating between the 2 groups（t=4. 43, P〈0.01）. Conclusion Psycho intervention can enhance patients＇ confidence, remove or ease anxious emotion and ensure smooth conduction of operation.

关 键 词：心理干预 心脏病 介入手术 焦虑 

分 类 号：R541[医药卫生—心血管疾病]