认知行为干预对急性冠状动脉综合征并发心律失常患者的心理状态及睡眠质量的影响  

Effect of cognitive behavior intervention on psychological state and sleep quality of patients with acute coronary syndrome complicated with arrhythmia

作　　者：任月霞[1] 孙艳芳[1] 张乐 孙倩[1] 胡秀雪 陈慧玲[1] REN Yuexia;SUN Yanfang;ZHANG Yue(Heart Center of Henan Provincial People's Hospital,Huazhong Fuwai Hospital,Zhengzhou University Huazhong Fuwai Hospital Arrhythmia Second Ward,Zhengzhou 450000,China)

机构地区：[1]河南省人民医院心脏中心华中阜外医院郑州大学华中阜外医院心律失常二病区,郑州450000

出　　处：《国际精神病学杂志》2020年第6期1268-1271,共4页Journal Of International Psychiatry

基　　金：2019年河南省医学科技攻关计划联合共建项目(编号:LHGJ20190767):左束支区域起搏心脏再同步化疗中晚期心力衰竭患者焦虑、抑郁现状及干预研究。

摘　　要：目的分析认知行为干预对急性冠状动脉综合征并发心律失常患者的心理状态及睡眠质量的影响。方法选择2017年1月~2020年1月我院收治的103例急性冠状动脉综合征并发心律失常患者为主要研究对象,采用随机数字表法分组,两组患者均给予经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI),在此基础上,对照组51例患者给予常规心理干预,观察组52例患者给予认知行为干预,对比两组患者干预前后焦虑抑郁情绪、睡眠质量、疾病应对方式及生活质量变化。结果干预后,观察组患者的SDS、SAS和PSQI评分低于对照组,SF-36评分高于对照组,MCMQ评分内回避、屈服项评分低于对照组,面对项评分高于对照组(P<0.05)。结论认知行为干预能够有效消除急性冠状动脉综合征并发心律失常患者的焦虑抑郁情绪,改善患者疾病应对方式及睡眠质量,提升生活质量。Objective To analyze the effect of cognitive behavior intervention on psychological state and sleep quality of patients with acute coronary syndrome complicated with arrhythmia. Methods A total of 103 patients with acute coronary syndrome complicated with arrhythmia from January 2017 and January 2020 in our hospital were collected and randomly divided into two groups :. Both groups were given percutaneous coronary intervention(PCI). On this basis,the control group(51 cases)received routine psychological intervention,the observation group(52 cases)received cognitive behavioral intervention,the changes of anxiety and depression,sleep quality,disease coping style and quality of life after intervention between the two groups were compared. Results After intervention,SDS,SAS and PSQI scores in the observation group were lower than those in the control group,SF-36 scores were higher than those in the control group,MCMQ scores for internal avoidance,yield items were lower than those in the control group,and face items were higher than those in the control group(P<0.05). Conclusion Cognitive behavioral therapy can effectively eliminate the anxiety and depression of patients with acute coronary syndrome complicated with arrhythmia,improve the patient’s coping style and sleep quality,and improve the quality of life.

关 键 词：认知行为 急性冠状动脉综合征 心律失常 心理状态 睡眠质量 

分 类 号：R395.5[哲学宗教—心理学]