积极心理干预对中青年心肌梗死患者心理成长及生活质量的影响  

Effects of positive psychological intervention on mental growth and quality of life in young and middle-aged patients with myocardial infarction

作　　者：陈黎黎[1] 陈晨[1] 王淑红[1] 李晓敏[1] 

机构地区：[1]哈尔滨医科大学附属肿瘤医院静脉药物配置中心,哈尔滨150080

出　　处：《中华现代护理杂志》2017年第9期1193-1197,共5页Chinese Journal of Modern Nursing

基　　金：国家临床重点专科建设项目（2012-236）

摘　　要：目的 探讨积极心理干预对中青年心肌梗死患者心理成长及生活质量的影响.方法 将110例中青年心肌梗死患者,按数字表法随机分为观察组（n=55）与对照组（n=55）.观察组给予积极心理干预,对照组给予常规护理措施,采用心理成长评定量表、应激障碍症状问卷对两组患者进行测评.结果 出院1个月,观察组与对照组PCL-C症状评分分别为（79.10±23.35）、（70.34±11.69）分、PTGI为（27.95±6.55）、（34.45±7.78）分,差异均有统计学意义（t值分别为18.420,4.542;P〈0.05）;观察组患者生命质量中PF、RP、BP、GH、VT、SF、RE及MH各均高于对照组,差异有统计学意义（P〈0.05）.结论 积极心理干预可促进发病后心理成长,改善远期疗效,显著提高中青年患者生活质量.Objective To explore the effects of positive psychological intervention on mental growth and quality of life in young and middle-aged patients with myocardial infarction.Methods A total of 110 middle-aged patients with myocardial infarction were randomly divided into observation group （n=55, positive psychological intervention） and control group （n=55,conventional nursing） according to the random number table. Patients of two groups were assessed with the post traumatic growth inventory （PTGI） and the posttraumatic stress disorder checklist-civilian version （PCL-C）.Results One month after leaving the hospital,there were statistically significant differences in scores of PCL-C and PTGI between observation group [（79.10±23.35）,（27.95±6.55）;t=18.420,P〈0.05] and control group [（70.34±11.69）, （34.45±7.78）;t=4.542,P〈0.05]. The score of the quality of life in PF,RP,BP,GH,VT,SF,RE and MH patients in observation group was higher than those in control group with significant differences （P〈0.05）. Conclusions The positive psychological intervention can promote the mental growth after morbidity,improve the long-term efficacy and quality of life of young and middle-aged patients significantly.

关 键 词：生活质量 心肌梗死 积极心理干预 中青年 心理成长 

分 类 号：R473.5[医药卫生—护理学]