| 认知行为干预对伴发焦虑抑郁急性冠脉综合征患者生活质量及预后的影响 |
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| 引用本文： | 项伟,黄宇理,马宾,姚惠强,李东戈,宣玲. 认知行为干预对伴发焦虑抑郁急性冠脉综合征患者生活质量及预后的影响[J]. 中华全科医学, 2018, 16(2): 207. DOI: 10.16766/j.cnki.issn.1674-4152.000058 |
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| 作者姓名： | 项伟 黄宇理 马宾 姚惠强 李东戈 宣玲 |
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| 作者单位： | 1. 蚌埠医学院第一附属医院心血管内科, 安徽 蚌埠 233004; |
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| 基金项目： | 2015安徽省高等学校人文社会科学项目(SK2015-B38by) |
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| 摘 要： | 目的 探讨认知行为干预对伴发焦虑抑郁急性冠脉综合征(acute coronary syndrome,ACS)患者生活质量及预后的影响。 方法 蚌埠医学院第一附属医院于2016年1月开始针对伴发焦虑抑郁ACS患者实施认知行为干预,选取实施前后6个月的患者分别设为对照组和试验组,比较2组患者干预前后SAS评分、SDS评分、SAQ评分、随访心血管不良事件发生率及护理满意度。 结果 对照组患者治疗前后SAS评分分别为(51.46±4.87)分、(45.43±3.67)分;对照组患者治疗前后SDS评分分别为(55.23±6.91)分、(48.33±5.10)分;试验组患者治疗前后SAS评分分别为(52.07±4.93)分、(40.08±2.43)分;试验组患者治疗前后SDS评分分别为(54.95±6.77)分、(41.59±3.44)分;试验组患者干预后SAS评分和SDS评分均显著低于对照组、干预前(t=2.473,2.911,2.582,3.172,均P<0.05)。对照组患者治疗前后SAQ评分分别为(55.60±4.90)分、(71.17±6.08)分;试验组患者治疗前后SAQ评分分别为(54.18±4.65)分、(84.94±7.75)分;试验组患者干预后SAQ评分显著高于对照组、干预前(t=2.762,3.553,P<0.005,P<0.001)。试验组患者随访心血管不良事件发生率均显著低于对照组(χ2=8.232,9.113,8.062,均P<0.005),同时试验组患者护理满意度显著高于对照组(Z=-3.235,P<0.005)。 结论 认知行为干预用于伴发焦虑抑郁ACS患者可有效缓解负面情绪状态,提高日常生活质量,降低心血管不良事件发生风险,并有助于建立和谐医患关系。
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| 关 键 词： | 认知行为干预 抑郁焦虑 急性冠脉综合征 生活质量 预后 |
| 收稿时间： | 2017-04-20 |
Influence of cognitive behavior intervention on quality of life and prognosis of ACS patients with anxiety and depression |
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| Affiliation: | Department of Cardiology, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China |
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| Abstract: | Objective To investigate the influence of cognitive behavior intervention on quality of life and prognosis of ACS patients with anxiety and depression. Methods Cognitive behavior intervention on ACS patients with anxiety and depression was started in January, 2016 in our hospital. We selected the patients before and after implementation of six months, and separately defined them as control group and experiment group; the SAS scores, SDS scores and SAQ scores before and after intervention, the incidence of adverse cardiovascular events and nursing satisfaction of both groups were compared. Results The SAS scores and SDS scores before intervention of control group were (51.46±4.87) points, (55.23±6.91) points separately. The SAS scores and SDS scores before intervention of experiment group were (52.07±4.93) points, (54.95±6.77) points separately. The SAS scores and SDS scores after intervention of control group were (45.43±3.67) points, (48.33±5.10) points separately. The SAS scores and SDS scores after intervention of experiment group were (40.08±2.43) points, (41.59±3.44) points separately. The SAS scores and SDS scores after intervention of experiment group were statistically significant lower than control group and before intervention (t=2.473, 2.911, 2.582, 3.172, all P<0.05). The SAQ scores before and after intervention of control group were (55.60±4.90) points, (71.17±6.08) points separately. The SAQ scores before and after intervention of experiment group were separately (54.18±4.65) points, (84.94±7.75) points. The SAQ scores after intervention of experiment group were statistically significant higher than control group and before intervention(t=2.762, 3.553, P<0.005, P<0.001). The incidence of adverse cardiovascular events of experiment group were significantly lower than that of the control group (χ2=8.232, 9.113, 8.062, all P<0.005). The nursing satisfaction of experiment group were statistically significant higher than control group (Z=-3.235,P<0.005). Conclusion Cognitive behavior intervention on ACS patients with anxiety and depression can effectively alleviate negative mood, improve the quality of daily life, reduce the risk of adverse cardiovascular events and be helpful to establish the harmonious relationship between doctors and patients. |
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