冠心病患者经皮冠脉介入术后A型行为模式、焦虑及抑郁情绪心理矫正的研究  

The Psychological Correction of TABP,Anxiety and Depression in CHD Patients with PCI

作　　者：吴莉娜[1] 韩立宪[1] 张红娟[1] 颜利求[1] 

机构地区：[1]沧州市中心医院,河北沧州061000

出　　处：《临床医药实践》2008年第S5期972-974,共3页Proceeding of Clinical Medicine

摘　　要：目的:探讨系统的心理矫正模式对冠心病患者经皮冠脉介入术(PCI)后A型行为模式(TABP)或兼合并有焦虑、抑郁情绪心理干预治疗的临床可行性。方法:将2005年1月—2007年5月入选210例患者,随机分为对照组(A)和心理干预组(B)进行对照研究,对心理干预组施行系统规范化心理矫正后,两组进行心理学评估。并同时随访观察6个月~2.5年,观察两组临床上的差异影响。结果:系统心理矫正前后2个月的心理评估分数,A组均明显低于B组(P【0.05和P【0.01),术后随访临床出现情况A组多于B组(P【0.05和P【0.01)。结论:心理矫正能有效地纠正A型行为和负性情绪,使反复就诊以及支架再介入例数明显降低。Objectives:To explore the clinical feasibility of psychological correction model on the patients with type-A behavioral pattern(TABP)or TABP associated with anxiety and depression after percutaneous coronary intervention(PCI).Methods:210 patients with coronary heart disease(CHD) selected for PCI from 01/2005 to 05/2007 were randomly divided to the control group(A)and psychological correction group(B).The patients in group B underwent standard systematic psychological correction.Psychological evaluation was performed for both groups.Clinical differences were studied in follow-up for 0.5 to 2.5 years.Results:After standard systematic psychological correction,the scores of psychological evaluation in group A was significantly lower than those in group B(P<0.05 and P<0.01)and the post-PCI clinical events in group A were significantly higher than those in group B(P<0.05 and P<0.01).Conclusion:Psychological correction could effectively correct post-PCI type-A behaviors and negative mood,which could significantly decrease numbers of clinic visits and re-do PCI.

关 键 词：心理矫正模式 经皮冠脉介入术 A型行为模式 焦虑抑郁情绪 临床可行性 

分 类 号：R541.4[医药卫生—心血管疾病]