心理干预对冠心病患者康复的影响研究

目的探讨心理干预对冠心病患者康复的影响。方法将120名冠心病住院患者分为干预组和对照组各60例,对照组只给予临床常规药物治疗,干预组同时进行心理干预,运用自测健康评定量表和西雅图心绞痛调查量表分别于心理干预前及结束时对两组患者进行评定。结果两组患者在实施心理干预前SRHMS评分和SAQ评分差异无统计学意义(P0.05)。实施心理干预后,干预组在自测健康的生理健康(t=2.772,P0.01)、心理健康(t=7.779,P0.01)、社会健康(t=6.403,P0.01)3个维度和总分(t=7.035,P0.01)上的干预前后差值及在心绞痛发作状态(t=4.015,P0.01)、治疗满意度(t=8.774,P0.01)和疾病认识程度(t=6.771,P0.01)3个维度及西雅图总分(t=9.972,P0.01)上的干预前后差值都高于对照组。干预组和对照组的临床疗效差别有统计学意义(χ2=16.536,P0.01)。结论心理干预不仅能够提高冠心病患者自身健康水平和生活质量,而且能够提高冠心病患者的疗效,有效促进其临床康复。

Effects of Psychological Intervention on Psychosomatic and Physical Recovery in Patients with Coronary Heart Disease

Objective To explore the effects of psychological intervention on psychosomatic and physical recovery in patients with coronary heart disease （CHD）. Methods 120 inpatients with CHD were divided randomly into the intervention group （60 cases） and the control group （60 eases）. The intervention group accepted psyehological intervention plus routine medication while the control group accepted only routine medication. Each group was asked to answer the Self-rated Heahh Measure Seale （SRHMS） and Seattle Angina Questionnaire （SAQ） before and after intervention. Results There were no significant differences between the intervention group and the control group on SRHMS score and SAQ score （P〉0.05） before intervention. But after psychological intervention, there were significant differences between difference values of intervention group and those of the eontrol group in SRHMS score and SAQ score （P〈0.01）. The clinical therapeutic efficacy of the intervention group was significantly better than that of the control group （P〈0.01）. Conclusion Psychological intervention can improve both psyehosomatie and physical symptoms in patients with CHD.