认知行为治疗及延续随访对冠脉搭桥术后患者生活质量的影响  

The impact of Cognitive Behavioral Therapy and the Extended Continuous Follow-up on the quality of life for patients after Coronary artery Bypass Grafting

作　　者：刘玉珍[1] 周立芹[2] 高春枝[2] 王霞 张玉梅 李金凤 刘霁红 Liu Yu-zhen;Zhou L i-qin;Gao Chun-zhi;Wang Xia;Zhang Yumei;Li Jin-feng;Liu Ji-hong(Department of Nursing,Tangshan Workers Hospital,Hebei Tangshan 063000;Department of Cardiac Surgery,Tangshan Workers Hospital,Hebei Tangshan 063000;Department of Trauma,Tangshan Workers Hospital,Hebei Tangshan 063000;College of Nursing and Rehabilitation,North China University of Technology,Hebei Tangshan 063000)

机构地区：[1]河北唐山工人医院护理部,河北唐山063000 [2]河北唐山工人医院心外科,河北唐山063000 [3]河北唐山工人医院创伤科,河北唐山063000 [4]华北理工大学护理与康复学院,河北唐山063000

出　　处：《实用临床护理学电子杂志》2019年第12期8-8,41,共2页Electronic Journal of Practical Clinical Nursing Science

基　　金：河北省医学科学研究重点课题计划:20181261

摘　　要：目的探讨认知行为治疗及延续随访对冠脉搭桥术后患者生活质量的影响。方法采用抑郁评分量表对在唐山工人医院心外科择期行冠脉搭桥术治疗的患者进行评测,选取评分高于60分的患者168例,随机分为对照组和观察组。对照组给予冠脉搭桥术后常规护理及健康指导,出院后只进行一次第一个月的常规随访,告知患者于术后一个月、半年、一年按时复诊。观察组患者在对照组的处理基础上,给予认知行为治疗及延续随访。于术后12个月分别测评两组患者抑郁和生活质量情况。结果观察组患者术后12个月的抑郁得分明显低于对照组(P<0.05),生活质量得分SF-36评分明显高于对照组(P<0.05)。结论认知行为治疗及延续随访能有效提高冠脉搭桥术后患者的生活质量。Objective The goal of this study was to examine the efficacy of a systemic tailored cognitive-behavioral intervention(CBT) and the extended continuous follow-up on the quality of life for patients after Coronary Artery Bypass Graft (CABG).Methods 168 patients after Coronary Artery Bypass Grafting in Tangshan Gongren Hospital were recruited for the study,they self-rating depression scores above 60.Patients were randomly assigned to two groups.One is the control group.The patients of this group treated as usual.The observe group received a cognitive behavioral therapy intervention and extended continuous follow-up after CABG surgery based on the control group.At the 12 months after CABG using the SF-36 and SDS follow-up questionnaire respectively to evaluate quality of life and depression.Results Observe group'scores of SDS(P<0.05 ) was lower than the control group.Observe group'scores of SF-36 questionnaire(P<0.05)were higer than the observe group. Conclusions Cognitive-behavioral intervention and the extended continuous follow-up can effectively improve the quality of life with patients after CABG.

关 键 词：认知行为治疗 延续随访 冠脉搭桥术 

分 类 号：R473[医药卫生—护理学]