冠心病患者心理行为干预效果的研究

目的：探讨心理行为干预对改变冠心病患者情绪和提高临床疗效的效果。方法：将108名冠心病患者随机分为对照组及实验组（每组54例）进行对照研究。实验组在临床常规治疗的基础上进行心理行为干预，对照组只进行临床常规治疗。用症状自评量表（SCL-90）、焦虑自评量表（SAS）、抑郁自评量表（SDS）对两组患者于心理干预前、心理干预后1个月末及3月未进行问卷调查。结果：心理行为干预后实验组SCL-90量表中的躯体化因子分、人际关系因子分、抑郁因子分、焦虑因子分、恐怖因子分明显低于临床常规治疗的对照组（P〈0．05）；实验组SAS（45．44±10．27）分、SDS（52．86±10．13）分，标准分均明显低于对照组（P〈0．05）。结论：心理行为干预能明显提高冠心病患者的心理健康水平，提高其临床治疗效果。

Research on the Effect of Psychological and Behavior Intervention on Patients with CHD

Objective： To research the effect of psychological intervention on improving the clinical effect and mood of patients with cronory heart disease （CHD）. Method： 108 cases with { CHD } were ran- domly divided into control group and experiment group. The experiment group were given psychological and behavior intervention on the basis of control group, while control group adopted normal therapy. Question- naire survey was conducted with SCL- 901SAS,SDS in two groups before psychological and behavior inter- vention after 1 and 3 months. Result： After psychological and behavior intervention, The score of factor of somatic health, social function ,anxiety,depression and phobic emotion in SCL-90 of experiment group was obviously lower than those in control group （ P 〈0.05 } ; The score of SAS { 45.44±10.27 ） , SDS 152.86±10. 13} in experiment group was obviously lower than those in control group （P 〈0.05 }. Conclusion：Psycho- logical and behavior intervention can improve the quality of life, the level of psychological health in patients with CHD.