认知行为干预对永久起搏器植入术后患者心理健康状况及生活质量的影响  

Influence of cognitive behavioral intervention on mental health and quality of life in patients after permanent pacemaker implantation

作　　者：彭民安[1] 刘传垠[1] 万凤福[1] 王雪樵[1] 易志强[1] 刘端甫[1] 匡林华 田泽洪 PENG Min-an;LIU Chuan-yin;WAN Feng-fu;WANG Xue-qiao;YI Zhi-qiang;LIU Duan-fu;KUANG Lin-hua;TIAN Ze-hong(Department of Cardiovascular Medicine,Ji′an Central People′s Hospital,Jiangxi Province,Ji′an 343000,China)

机构地区：[1]江西省吉安市中心人民医院心血管内科,江西吉安343000

出　　处：《中国当代医药》2020年第25期44-46,共3页China Modern Medicine

基　　金：江西省科技计划项目(20142BBG70121)。

摘　　要：目的探讨认知行为干预对永久起搏器植入术后患者心理健康状况及生活质量的影响。方法选取2014年2月~2018年6月我院收治的97例心脏永久起搏器植入术患者作为研究对象,按照抽签法随机分为试验组(49例)和对照组(48例)。对照组采用常规健康宣教方法,试验组采用认知行为干预方法。比较两组的国际标准焦虑自评量表(SAS)、焦虑自评量表(SDS)评分及生活质量量表(SF-36)总评分。结果两组术前的SAS评分比较,差异无统计学意义(P>0.05);试验组术后1、3、6个月的SAS评分均低于对照组(P<0.05)。两组术前的SDS评分比较,差异无统计学意义(P>0.05);试验组术后1、3、6个月的SDS评分均低于对照组(P<0.05)。两组术前的SF-36总评分比较,差异无统计学意义(P>0.05);试验组术后1、3、6个月的SF-36总评分均高于对照组(P<0.05)。两组术后1、3、6个月的SDS评分、SAS评分均低于术前,SF-36总评分高于术前(P<0.05)。结论认知行为干预可以明显改善起搏器植入术后患者的心理健康状况及生活质量,值得临床推广。Objective To explore the influence of cognitive behavior intervention on the mental health and quality of life of patients after permanent pacemaker implantation.Methods A total of 97 patients with permanent pacemaker implantation who were treated in our hospital from February 2014 to June 2018 were selected as the research subjects.They were randomly divided into the experimental group(49 cases)and the control group(48 cases)according to the lottery method.The control group used conventional health education method,and the experimental group used cognitive behavioral intervention method.The international standard anxiety scale(SAS)scores,self-anxiety scale(SDS)scores and the total scores of quality of life scale(SF-36)were compared between the two groups.Results There was no significant difference in the SAS scores between the two groups before surgery(P>0.05).The SAS scores at 1,3,6 months after surgery in the experimental group were lower than those in the control group(P<0.05).There was no significant difference in the SDS scores between the two groups before surgery(P>0.05).The SDS scores at 1,3,6 months after surgery in the experimental group were lower than those in the control group(P<0.05).There was no significant difference in the total score of SF-36 between the two groups before surgery(P<0.05).The total scores of SF-36 at 1,3,6 months after surgery in the experimental group were higher than those in the control group(P<0.05).The SDS scores and SAS scores of the two groups at 1,3,6 months after surgery were lower than those before surgery,and the total SF-36 scores of the two groups at 1,3,6 months after surgery were higher than those before surgery(P<0.05).Conclusion Cognitive-behavioral intervention can significantly improve the mental health and quality of life of patients after pacemaker implantation,and is worthy of clinical promotion.

关 键 词：认知行为干预 永久起搏器植入术后 心理健康状况 生活质量 

分 类 号：R473[医药卫生—护理学]