心理干预对冠状动脉介入治疗前后患者负性情绪及生存质量的影响

目的探讨心理干预对冠状动脉介入治疗前后患者负性情绪及生存质量的影响。方法选取桂林市人民医院心内科住院患者120例,随机分为心理干预组和对照组各60例,采取观察、交谈记录及焦虑自评表(SAS)、Zung抑郁自评表(SDS)、症状自评表(SCL-90)和生存质量表(CARES-SF)的评分对两组患者进行评价。结果心理干预组患者SAS、SDS评分、CARES-SF评分均比干预前降低,差异有统计学意义(P<0.05);对照组则无明显变化。心理干预组患者SCL-90评分比干预前降低明显,差异有统计学意义(P<0.01),对照组无明显变化。结论心理干预不仅可以延长冠脉介入手术患者的生命、提高其生存质量,还可增强其治疗信心和免疫力,值得在临床上推广。

Impact of Psychological Intervention on the Negative Emotions and Quality of Life before and after Coronary Intervention

Objective To explore the impact of psychological intervention on the negative emotion and quality of life before and after the coronary intervention treatment.Methods 120 patients selected from Guilin People′s Hospital were randomly divided into psychological intervention group(n=60)and control group(n=60),the conversation records and anxiety self-assessment table(SAS),Zung Self-Rating Depression(SDS),the symptomsevaluation form(SCL-90)and the quality of life(CARES-SF)score evaluation were adopted to assess the patients of the two groups.Results Psychological intervention after psychological intervention group of patients with anxiety and depression SAS,SDS scores and CARES-SF score of the intervention group were all lower than before the intervention with statistically significant difference(P<0.05);while there were no obvious changes in the control group.SCL-90 score of the intervention group were significantly lower than before the intervention(P<0.01),no obvious change in the control group.Conclusion Psychological intervention not can only extend life length and improve the quality of life of patients who received coronary intervention,but also strengthen the confidence and immunity of the patient,thus is worthy of promotion in clinical.