认知行为干预结合预防性护理对冠心病住院患者的影响

目的:探讨认知行为干预结合预防性护理在冠心病住院患者中的应用效果。方法:选取120例住院治疗的冠心病患者作为研究对象，随机分为对照组（n=60）和观察组（n=60），对照组仅进行常规治疗及护理，观察组在常规治疗及护理的同时给予认知行为干预及预防性护理措施，观察并记录2组患者治疗前后的汉密顿焦虑量表（HAMA）评分、汉密顿抑郁量表（HAMD）评分、日常生活能力量表（ADL）评分、心率异常患者例数、高血压患者例数、住院时间及治疗费用。结果:治疗前，2组冠心病患者各项临床指标差异均无统计学意义（P>0.05）；经过治疗后，2组患者HAMA评分、HAMD评分、ADL评分均较治疗前明显改善（P<0.01），心率异常患者及高血压患者例数均较治疗前例数减少（P<0.05），且观察组患者HAMA、HAMD和ADL评分均明显优于对照组（P<0.01）；观察组患者的住院时间较对照明显缩短，治疗费用明显降低（P<0.01）。结论:采用认知行为干预预防性护理方案，能够明显减轻冠心病患者治疗过程中的焦虑、抑郁情绪，提高患者的生活质量，改善患者临床治疗与护理的效果。

Clinical effect of the cognitive behavior intervention combined with preventive nursing on patients with coronary heart disease

Objective:To explore the effects of the cognitive behavior intervention combined with preventive nursing on patients with coronary heart disease. Methods:One hundred and twenty patients with coronary heart disease were randomly divided into the control group( n=60 ) and observation group ( n=60 ) . The control group were nursed with routine method, and the observation group were nursed with the cognitive behavior intervention combined with preventive nursing based on the routine measure. The scores of the HAMA,HAMD and ADL before and after treatment,patients with hypertension and abnormal heart rate,hospitalization time and cost in two groups were observed and recorded. Results:Before treatment, the difference of the clinical index between two groups was not statistically significant(P>0. 05). After treatment the scores of HAMA,HAMD and ADL in two groups were significantly improved (P<0. 01),the patient with hypertension and abnormal heart rate decreased(P<0. 05),and the scores of HAMA,HAMD and ADL in observation group were significantly better than those in control group(P<0. 01). Compared with the control group,the hospitalization time and costs in observation group were significantly shorter and lower(P<0. 01). Conclusions:The cognitive behavior intervention combined with preventive nursing can obviously alleviate the anxiety and depression,improve the quality of life and clinical treatment and nursing effects in patients with coronary heart disease.