心理干预对经皮穿刺腔内冠状动脉成形术前患者情绪的影响

目的探讨经皮穿刺腔内冠状动脉成形术术前进行心理干预的临床效果。方法将60例经皮穿刺腔内冠状动脉成形术的心脏病患者随机分为两组各30例，研究组给予心理干预。采用汉密顿焦虑量表评定焦虑状况，汉密顿抑郁量表评定抑郁状况，对两组评定结果进行对比分析。结果干预组汉密顿焦虑量表评分较治疗前有显著下降（P〈0．01），而对照组则显著升高（P〉0．05），干预组显著低于对照组（P〈0．01）；汉密顿抑郁量表评分干预前后两组间均无显著性差异（P〉0．05）。结论对心脏病患者经皮穿刺腔内冠状动脉成形术术前适时进行心理干预，能提高患者的自我心理调适能力，显著改善不良情绪，减轻或缓解患者的心理压力和焦虑状况。

The effect of mental intervention on the patients' emotion before percutaneous transluminal coronary angioplast

Objective To explore the effect of mental intervention on the patients before percutaneous transluminal coronary angioplasty（PTCA）. Methods 60 patient were divided randomly into two groups equally before PTCA, the study group were given mental intervention. The HAMD and HAMA were accessed the mental status. Results The score of HAMA decreased in study group after mental intervention but increased in control group, there was significant difference between them. The score of HAMD had no differences in both the two groups betwecn pre- and post-intervention. Conclusion Mental intervention before PTCA can enhance the patients＇psychological adjustment and decrease the unhealthy emotion.