疗养期间心理干预对冠心病患者症状和超敏C反应蛋白水平的影响  

Influence of mental intervention on patients with coronary heart disease and hypersensitive C-reactive protein levels during rehabilitation

作　　者：唐慧明[1] 周继光[1] 

机构地区：[1]南京军区庐山疗养院,332000

出　　处：《中国疗养医学》2014年第1期1-2,共2页Chinese Journal of Convalescent Medicine

摘　　要：目的探讨心理干预对冠心病患者症状和超敏C反应蛋白(hs-CRP)水平的影响。方法选择冠心病患者184例,分别进行焦虑自评量表(SAS)及抑郁自评量表(SDS)调查,并运用西雅图心绞痛量表(SAQ)评测患者的心绞痛症状,同时检测hs-CRP水平,随机分为心理干预组96例和常规治疗组88例。两组患者均进行常规冠心病治疗,同时对心理干预组额外进行心理干预。1个月后重新对以上个体进行SAS、SDS、SAQ评分及hs-CRP水平检测。结果与治疗前比较,两组SAS、SDS评分明显降低,SAQ评分明显增高,hs-CRP水平明显下降(P<0.01),且心理干预组较常规治疗组变化更明显(P<0.01)。结论心理危机干预可以减轻冠心病患者的焦虑、抑郁,改善心绞痛症状,降低炎性因子水平。objective To discuss the effects of psychological intervention on the patients with coronary heart disease symptoms and of hypersensitive c-reactive protein levels. Method Selection in patients with coronary heart disease in 184 cases, separate the self-rating anxiety scale （SAS） and the self-rating depression scale （SDS） survey, Seattle angina questionnaire （SAQ） survey, simultaneous detection of high-sensitivity c-reactive protein levels .Then they were divided into Group of 96 cases of psychological intervention and control groups in 88 cases. 2 groups of patients for routine treatment of coronary heart disease and psychological intervention on psychological intervention group bonus. After one month, SAS SDS, SAQ score, and detection high-sensitivity c-reactive protein levels again on the above individuals. Results Compared with before treatment, two group of SAS, SDS scores significantly lower, SAQ scores significantly increases, high-sensitivity c-reactive protein levels declined significantly （P〈0. 01）, and psychological intervention group more clearly than the control group （P〈0. 01）. Conclusions Psychological crisis intervention can relieve anxiety and depression in patients with coronary heart disease, relif the symptoms of angina, lower levels of inflammatory factors.

关 键 词：冠心病 焦虑 抑郁 超敏C反应蛋白 心绞痛 心理干预 

分 类 号：R473.5[医药卫生—护理学]