冠心病患者联用心理干预措施后的效果评价  

Evaluation on Effect of Psychological Intervention Measures on Patients with Coronary Heart Disease

作　　者：黄英虎[1] 

机构地区：[1]广东省怀集县人民医院心血管内科,广东怀集526400

出　　处：《实用预防医学》2009年第3期950-952,共3页Practical Preventive Medicine

摘　　要：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 psychological intervention based on conventional treatment and nursing on patients with coronary heart disease. Methods Ninety patients with coronary heart disease were randomly divided into observation group and control group （each n= 45）. The patients in control group were treated with conventional care, while the patients in observation group were received psychological intervention based on conventional＇treatment and nursing. SAS, SDS, cardiac function and the satisfaction rate were compared between the two groups. Results After treatment, SAS [ （2.2.6 ± 7.5） rain] and SDS [ （27.4 ± 8.4） rain] of observation group were significantly lower than those （SAS （42.3 ± 9.4） hours, SDS （46.2 ± 9.7） points） of control group, and the difference was statistically significant （P〈 0. 001 ）. LVEF [ （49.6± 3.5） % ] and FS [ （27.4 ± 1.9） % ] of observation group were significantly higher than those [ LVEF （44.3± 2.6） %, FS （21.2 ± 2.1 ） % ] of control group, the difference was statistically significant （ P〈 0. 001 ）. The overall satisfaction rate was 77. ？8 % in observation group, which was significantly higher than that of control group （37.78 % ）, there was a statistically significant difference between them （X2 = 14. 7571, P〈 0.01）. Conclusions It is of great value to psychological interven- tion of coronary heart disease based on conventional treatment and nursing, which is not only in improving the status of psycho- logical health but also in improving the life satisfaction degree. And moreover, psychological intervention is simple and inex- pensive and has no adverse reaction, it is worthily recommended in the clinical application.

关 键 词：冠心病 心理干预 满意度 

分 类 号：R541.4[医药卫生—心血管疾病]