护理心理干预对冠心病择期介入患者焦虑抑郁的影响

目的探讨护理心理干预对择期经皮冠脉介入(PCI)患者焦虑抑郁水平的影响。方法连续调查2013年2~3月在北京军区总医院心内科行择期PCI治疗的住院患者80例,随机分为护理心理干预组和对照组,每组40例。分别于入院时、护理心理干预后、PCI术后填写贝克-抑郁量表、状态-焦虑量表;分析比较心理干预组与对照组焦虑抑郁水平变化。结果干预组与对照组患者基线时均处于焦虑状态,焦虑评分分别为:(44.4±9.4)分、(44.8±10.6)分;经护理心理干预后及PCI术后患者焦虑评分为:(40.4±9.4)分、(38.6±10.4)分,均明显低于对照组患者[(44.2±8.6)分、(41.5±9.4)分];两组患者基线时焦虑评分无统计学差异(P0.05),护理心理干预后及PCI术后焦虑评分均有统计学差异(P0.05)。两组患者抑郁水平在心理干预前后无明显变化。结论择期行PCI患者术前存在明显焦虑情绪,护理心理干预可明显降低PCI患者的焦虑情绪。

Influences of psychological nursing intervention on anxious and depressed patients with CHD and selective percutaneous coronary intervention

Objective To discuss the influences of psychological nursing intervention on anxious and depressed levels in patients with CHD and selective percutaneous coronary intervention （PCI）. Methods The patients （n=80） were given continuous surveys from Feb. 2013 to Mar. 2013, and then randomly divided into intervention group and control group （each n=40）. All patients were asked to complete the Beck Depression Inventory （BDI） and State Anxiety Inventory （STAI） respectively at hospitalizing time, after psychological nursing intervention and after PCI. The changes of anxious and depressed levels were compared and analyzed in 2 groups. Results The patients of intervention group and control group were all in anxious state at baseline, and anxious scores were, respectively, （44.4±9.4） and （44.8±10.6）. After psychological nursing intervention and PCI, anxious scores were, respectively, （40.4±9.4） and （38.6±10.4） in intervention group, which were significantly lower than those in control group （44.2±8.6） and （41.5±9.4）. There was no statistical difference in anxious scores between 2 groups at baseline （P〉0.05） and after psychological nursing intervention and PCI there was statistical difference in anxious scores （P〈0.05）. The level of depression had no significant changes in 2 groups before and after psychological nursing intervention. Conclusion The patients will have significant anxious emotion before selective PCI, and psychological nursing intervention can effectively relieve this emotion.