心理康复治疗在冠心病冠脉介入治疗后患者中的应用效果  

Application effect of psychological rehabilitation in patients with coronary heart disease after coronary intervention

作　　者：邱经纬 李小燕 叶飞 QIU Jing-wei;LI Xiao-yan;YE Fei(Department of Cardiology,Ganxian People′s Hospital,Jiangxi Province,Ganzhou341100,China)

机构地区：[1]江西省赣县区人民医院心血管内科,江西赣州341100

出　　处：《中国当代医药》2020年第30期213-215,共3页China Modern Medicine

基　　金：江西省赣州市指导性科技计划项目(GZ2018ZSF466)。

摘　　要：目的分析心理康复治疗在冠心病冠脉介入治疗后患者中的应用效果。方法选取2017年4月~2018年6月于我院行冠脉介入治疗的冠心病患者58例,依据入院顺序分为观察组和对照组,每组各29例。两组均依据常规指南药物治疗,采用科学的生活方式同时进行冠心病的危险因素控制,依据患者的病情情况进行运动处方指导,观察组加行心理康复治疗,对比两组护理前后的康复知识和自护能力、焦虑评分、生活质量评分。结果观察组冠心病康复知识和自护能力评分高于对照组,差异有统计学意义(P<0.05);护理后1年,观察组焦虑评分低于对照组,观察组生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论通过药物治疗、科学的生活方式以及心理康复干预,有利于冠心病患者的康复。Objective To analyze the application effect of psychological rehabilitation in patients with coronary heart disease(CHD)after coronary intervention.Methods A total of 58 patients with CHD who underwent coronary intervention from April 2017 to June 2018 in our hospital were divided into observation group and control group according to the sequence of hospital admission,with 29 cases in each group.Both groups were treated with drugs based on the conventional guideline,and simultaneously controlled the risk factors of CHD by scientific lifestyle,and exercise guidance was conducted according to the patient′s specific condition.In the observation group,psychological rehabilitation was added.The scores of rehabilitation knowledge,self-care ability,anxiety,and quality of life before and after nursing in both groups were compared.Results In the observation group,the scores of rehabilitation knowledge of CHD and self-care ability were higher than those of the control group,and the differences were statistically significant(P<0.05).1 year after nursing,the anxiety score of the observation group was lower than that of the control group,the quality of life score of the observation group was higher than that of the control group,and the differences were statistically significant(P<0.05).Conclusion Drug therapy,scientific lifestyle intervention and psychological rehabilitation are conducive to the rehabilitation of patients with CHD.

关 键 词：冠脉介入 冠心病 心理康复 生活质量 

分 类 号：R541.1[医药卫生—心血管疾病]