综合心理干预对治疗中年冠心病介入患者负性情绪及生活质量的影响

目的探讨运用综合心理干预方案对冠心病介入治疗的中年患者负性情绪及生活质量的影响。方法将62例择期行心脏介入治疗的中年患者随机分为两组（每组31例）,其中干预组患者采用心内科常规治疗＋抗精神药物＋综合心理干预;对照组采用心内科常规治疗＋口服安慰剂,通过SAS评分比较两组患者术前及术后抑郁、焦虑等情绪的程度。结果①干预组术后SAS评分明显低于对照组,差异有统计学意义（P〈0.01）。②干预组治疗后SCL-90部分因子评分明显低于治疗前（P〈0.01）。③干预组治疗后总有效率（86.3%）明显示高于对照组55.6%;两组的差异有统计学意义（P〈0.05）。结论冠心病介入中年患者不同程度存在恐惧、焦虑、情绪不安、抑郁、自卑、人际关系等心理问题,综合心理干预治疗可明显改善其负性心理和情绪,可以促进患者早日康复和提高生活质量。

Influence of comprehensive psychological intervention on the treatment of negative mood and quality of life among middle-aged patients with coronary intervention

[Objective]To explore the influence of comprehensive psychological intervention on the treatment of negative mood and quality of life among middle-aged patients with coronary intervention. [Methods] 62 middle-aged patients whose heart would receive interventional treatment were randomly divided into two groups（ 31 cases in each group）. The patients in intervention group were given conventional treatment,antipsychotic drugs and comprehensive psychological intervention; the control group was given conventional treatment and oral placebo. The degree of depression,anxiety and other emotions of patients in two groups before and after operation were compared by the scores of SAS.[Results]①SAS scores in intervention group were significantly lower than those in the control group,the difference was statistically significant（ P 0. 01）. ②SCL-90 scores of part of the factors in intervention group after treatment was significantly lower than those before treatment（ P 0. 01）. ③The total efficiency rate of intervention group（ 86. 3%） after treatment was higher than that of the control group（ 55. 6%）,the difference was statistically significant（ P 0.05）.[Conclusion]The middle-aged patients with coronary intervention exist varying degrees of fear,anxiety,emotional lability,depression,self-abasement,interpersonal relationships and other mental health problems,comprehensive psychological intervention can significantly improve the negative psychology and emotion,promote the recovery of patients and improve the quality of life.