认知行为干预在经皮冠状动脉介入治疗前后焦虑病人中的应用  

Application of cognitive behavior intervention for patients with anxiety before and after undergoing percutaneous coronary artery interventional therapy

作　　者：秦发伟[1] 解晨[1] 杨丽娟[1] 李文慧[2] 刘轶平[1] 金琳[1] 

机构地区：[1]山东省立医院,250021 [2]上海交通大学附属瑞金医院,200025

出　　处：《护理研究（中旬版）》2007年第8期2086-2087,共2页Chinese Nursing Researsh

基　　金：2005年山东省卫生厅立项课题;编号:2005HW105

摘　　要：[目的]探讨认知行为干预在经皮冠状动脉介入治疗(PCI)前后焦虑病人中的应用效果。[方法]将600例行PCI的冠心病病人随机分为两组,实验组接受认知行为干预,对照组接受常规术前护理。[结果]两组PCI术后两周、术后3个月(随访)SAS评分比较有统计学意义,实验组病人焦虑情绪明显改善;心绞痛发生次数、持续时间、硝酸甘油消耗量以及心脏事件的发生率也显著低于对照组。[结论]认知行为干预可明显改善病人的焦虑情绪,提高护理质量。Objective： To probe into the effect of applying cognitive behavior intervention for patients with anxiety before and after undergoing percutaneous coronary artery interventional therapy （PCI）. Methods： A total of 600 patients with coronary artery disease were divided into two groups randomly. Patients of test group were given cognitive behavior intervention. And patients of control group were just given routine nursing care. Results： There were statistical differences in terms of SAS scores between two weeks after operation and at three months postoperative follow up. Anxieties of test group patients were obviously improved. Both frequencies and duration of angina pectoris attack, consumption of glycerol trinitrate and the incidence of heart events in test group patients were much fewer than that of control group cases. Conclusions： Cognitive behavior intervention can improve the anxiety feeling remarkably for patients and enhance nursing quality of them.

关 键 词：认知行为干预 冠状动脉介入治疗 焦虑 

分 类 号：R473.5[医药卫生—护理学]