心理干预对冠状动脉介入患者心理及儿茶酚胺的影响

目的探讨护理心理干预对经皮冠状动脉介入治疗（percutaneous coronary intervention，PCI）患者心理状态、血浆肾上腺素（epinephrine，E）和去甲肾上腺素（norepinephrine，NE）的影响。方法经患者知情同意后，将97例需经皮冠状动脉介入治疗的患者随机分为实验组49例和对照组48例，对照组进行常规术前治疗和护理，实验组在此基础上增加护理心理干预，采用问卷法调查两组患者的不良心理状态发生率，检测实验组及对照组护理心理干预前后的肾上腺素和去甲肾上腺素水平。结果实验组患者对PCI的不良心理状态发生率明显低于对照组；两组患者在人院时血浆E、NE水平无显著性差异，但经心理干预护理2d后，实验组血浆E、NE明显低于对照组，差异有统计学意义（P〈0．01）。结论心理干预对冠状动脉介入治疗患者的不良心理有明显的改善作用。

Influences of Nursing Psychological Intervention on the Mental Status and Plasma Catecholamines in Patients with Percutaneous Coronary Intervention

Objective To study the influences of nursing psychology interference in the patients with percutaneous coronary intervention （PCI） on the mental status,epinephrine（E） and norepinephrine （NE）. Methods With full exposure to informed consent,ninety-seven patients with PCI were randomly divided into two groups, experimental group（n=49）,and control group（n=48）. The patients in the control group received normal treatment. The patients in experimental group received nursing psychology intervention in addition to normal treatment. The occurrence rates of negativity sentiment of the patients in the two groups were investigated with questionnaire. The level of E and NE were compared before and after PCI between the two groups. Results The occurrence rate of negativity sentiment in the experimental group were lower than that in the control group. After 2 days＇ psychological intervention,the level of E and NE in the experimental group were lower than those of the control group significantly（P〈0.01）. Conclusion Nursing psychology intervention makes the obvious improvement in the negativity sentiment of patients with PCI.