冠心病患者心理行为干预效果的研究  

Research on the Effect of Psychological and Behavior Intervention on Patients with CHD

作　　者：王瑞学[1] 牛嗣霞[2] 安永红[1] 徐艳霞[1] 杜海然 

机构地区：[1]承德护理职业学院,河北承德067000 [2]河北民族师范学院附属中学,河北承德067000

出　　处：《河北医学》2013年第4期596-599,共4页Hebei Medicine

摘　　要：目的:探讨心理行为干预对改变冠心病患者情绪和提高临床疗效的效果。方法:将108名冠心病患者随机分为对照组及实验组(每组54例)进行对照研究。实验组在临床常规治疗的基础上进行心理行为干预,对照组只进行临床常规治疗。用症状自评量表(SCL-90)、焦虑自评量表(SAS)、抑郁自评量表(SDS)对两组患者于心理干预前、心理干预后1个月末及3月未进行问卷调查。结果:心理行为干预后实验组SCL-90量表中的躯体化因子分、人际关系因子分、抑郁因子分、焦虑因子分、恐怖因子分明显低于临床常规治疗的对照组(P<0.05);实验组SAS(45.44±10.27)分、SDS(52.86±10.13)分,标准分均明显低于对照组(P<0.05)。结论:心理行为干预能明显提高冠心病患者的心理健康水平,提高其临床治疗效果。Objective： To research the effect of psychological intervention on improving the clinical effect and mood of patients with cronory heart disease （CHD）. Method： 108 cases with { CHD } were ran- domly divided into control group and experiment group. The experiment group were given psychological and behavior intervention on the basis of control group, while control group adopted normal therapy. Question- naire survey was conducted with SCL- 901SAS,SDS in two groups before psychological and behavior inter- vention after 1 and 3 months. Result： After psychological and behavior intervention, The score of factor of somatic health, social function ,anxiety,depression and phobic emotion in SCL-90 of experiment group was obviously lower than those in control group （ P 〈0.05 } ; The score of SAS { 45.44±10.27 ） , SDS 152.86±10. 13} in experiment group was obviously lower than those in control group （P 〈0.05 }. Conclusion：Psycho- logical and behavior intervention can improve the quality of life, the level of psychological health in patients with CHD.

关 键 词：心理行为干预 冠心病 治疗 预后 

分 类 号：R473.5[医药卫生—护理学]