心理干预对经皮冠状动脉介入术后患者负面情绪及预后的影响价值  

Effect Value of Psychological Intervention on Negative Emotions and Prognosis of Patients After Percutaneous Coronary Intervention

作　　者：梁普博[1] 郑云龙[1] 张望[1] 苏丹霞[1] LIANG Pubo;ZHENG Yunlong;ZHANG Wang;SU Danxia(Cardiovascular Department,Guangdong Agricultural Reclamation Center Hospital,Zhanjiang,Guangdong 524000)

机构地区：[1]广东省农垦中心医院心血管内科,广东湛江524000

出　　处：《智慧健康》2024年第14期87-90,共4页Smart Healthcare

基　　金：湛江市非自助科技攻关计划项目《老年冠脉介入手术病人术前心理状态与预后的相关性研究的可行性研究报告》(项目编号:2021B01396)。

摘　　要：目的 探究心理干预对经皮冠状动脉介入术后患者负面情绪及预后的影响。方法 选取2021年10月—2022年12月80例在本院行经皮冠状动脉介入术治疗的患者作为研究样本,将其随机分为研究组、对照组(抽签法),每组40例。入组后均行经皮冠状动脉介入术治疗。对照组实施常规护理,研究组实施心理干预。对比两组患者的生理应激指标、心理应激指标、疾病自我效能良好率。结果 入手术室前、术后1d,对照组、研究组各指标差异较大,结果显示后者的焦虑(SAS)、抑郁自评量表(SDS)评分、心率、舒张压、收缩压等指标水平更低(P<0.05);分析术后2个月两组患者的生活质量各指标显示,与对照组相比,研究组更高(P<0.05)。结论 心理干预能够预防经皮冠状动脉介入术患者的应激反应,提高患者生活质量。Objective To explore effect of psychological intervention on negative emotions and prognosis of patients after percutaneous coronary intervention.Methods A total of 80 patients from Guangdong Agricultural Reclamation Central Hospital were selected as the study samples from October 2021 to December 2022.All patients were treated with percutaneous coronary intervention after enrollment.By drawing lots,the patients were divided into control group and study group,with a total of 40 samples in each group.The control group received routine nursing and the study group received psychological intervention.The physiological stress index,psychological stress index and good rate of self-efficacy were compared between the two groups.Results Before entering the operating room and one day after operation,the indexes of the control group and the study group were significantly different.The results showed that the scores of anxiety(SAS),self-rating Depression Scale(SDS),heart rate,diastolic blood pressure,systolic blood pressure and other indexes of the latter group were lower(P<0.05).Two months after surgery,the quality of life index analysis of the two groups showed that compared with the control group,the study group was higher(P<0.05),and the difference between groups was significant.Conclusion Psychological intervention can prevent stress reactions and improve life quality of patients with percutaneous coronary intervention.

关 键 词：经皮冠状动脉介入术 心理干预 应激反应 疾病自我效能 

分 类 号：R473.5[医药卫生—护理学]