认知行为干预结合预防性护理对冠心病患者PCI后焦虑抑郁及生活质量的影响  

Effects of cognitive behavioral intervention combined with preventive nursing care on anxiety,depression and quality of life in patients with coronary heart disease after PCI

作　　者：郝春颖[1] 杜健[1] 王雪[1] 宇南 吕巍[1] HAO Chunying;DU Jian;WANG Xue;Yu Nan;LYU Wei(Department of Cadre′s Ward,the First Hospital of Jilin University,Changchun,Jilin 130000,China)

机构地区：[1]吉林大学第一医院干部病房,吉林长春130000

出　　处：《徐州医科大学学报》2020年第11期843-846,共4页Journal of Xuzhou Medical University

基　　金：吉林省直卫生专项项目(2018CZWSZX-005)。

摘　　要：目的探讨综合护理对于行经皮冠状动脉支架植入术(PCI)后冠心病患者焦虑、抑郁情绪及生活质量的影响。方法选取120例住院治疗的冠心病患者作为研究对象,随机分为观察组(60例)与对照组(60例),对照组患者给予常规治疗和护理,观察组在此基础上给予认知行为干预和预防性护理。比较2组干预前后焦虑自评量表(SAS)、抑郁自评量表(SDS)、日常生活能力量表(ADL)、生活质量评分(SF-36)及西雅图心绞痛问卷(SAQ)评分的差异,并比较治疗前后2组患者主要不良心血管事件(MACE)发生率的差异。结果2组干预前SAS、SDS评分的差异无统计学意义(P>0.05);观察组干预后SAS评分、SDS评分较对照组明显下降,差异有统计学意义(P<0.05)。2组干预前SF-36、ADL、SAQ评分的差异无统计学意义(P>0.05),干预后2组SF-36、ADL、SAQ评分均显著增高,且干预组高于对照组,差异有统计学意义(P<0.05)。观察组与对照组MACE发生率分别为5.00%和15.00%,差异有统计学意义(P<0.05)。结论认知行为干预结合预防性护理对冠心病患者PCI后焦虑抑郁及生活质量有显著改善,效果明显,具有临床推广价值。Objective To investigate the effect of comprehensive nursing care on anxiety,depression and quality of life in patients with coronary heart disease after percutaneous coronary intervention(PCI).Methods A total of 120 inpatients with coronary heart disease were selected as subjects.They were randomly divided into an observation group and a control group(n=60).Patients in the control group were given conventional treatment and nursing care,while the observation group was given cognitive behavioral intervention and preventive care.The two groups were compared for the scores of the Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),Ability of Daily Living Scale(ADL),Quality of Life Score(SF-36)and Seattle Angina Pectoris Questionnaire(SAQ)before and after intervention.The incidences of major adverse cardiovascular events(MACEs)in the two groups were compared before and after treatment.Results No statistical difference was found in SAS and SDS scores between the two groups before intervention(P>0.05).After intervention,the observation group produced remarkably lower SAS and SDS scores than those in the control group(P<0.05).There was no significant difference in SF-36,ADL,and SAQ scores between the two groups at admission(P>0.05).After intervention,marked increases in ADL,SF-36,and SAQ scores were found in the two groups,where the intervention group showed higher scores than the control group(P<0.05).The incidence of MACE was 5.00%for the observation group and 15.00%for the control group,which was statistically different(P<0.05).Conclusions Cognitive behavioral intervention combined with preventive nursing care can significantly improve anxiety,depression,and quality of life in patients with coronary heart disease after PCI.

关 键 词：冠心病 经皮冠状动脉支架植入术 认知行为干预 预防性护理 焦虑抑郁 

分 类 号：R473[医药卫生—护理学]