心理行为干预对急性心肌梗死急诊PTCA及支架术后康复的影响

目的：探讨心理行为干预对急诊经皮冠状动脉内成形（PTCA）及支架术后患者康复的影响。方法：84例接受急诊PTCA及支架植入术成功的急性心肌梗死（AMI）患者随机分为干预组和对照组各42例，均常规药物治疗和AMI常规护理，干预组同时配合系统的心理行为干预，包括心理支持、康复锻炼及院外指导等。结果：经过6个月观察，干预组患者的焦虑、抑郁（SAS、SDS）评分与干预前及对照组比较均明显下降；血糖、血脂、体质量及再住院率均低于对照组；患者用药依从性、戒烟率及恢复工作率均明显高于对照组（P〈0.05，0.01）。结论：系统心理行为干预能明显缓解急诊PTCA及支架术后患者的负面情绪，促进心脏康复和提高生存质量。

Effects of Psychological and Behavioral Intervention on Rehabilitation of AMI Patients Subject to Emergency PTCA and Stent Treatment

Objective： To explore the effects of psychological and behavioral intervention on patients subject to emergency PTCA and stent treatment. Methods： Eighty-four AMI patients who successfully received emergency PTCA and stent treatment were enrolled and divided into two groups （42 cases in each group）. Conventional medical therapy and AMI nursing were given to the control group. For the treatment group, additional systemic psychological and behavioral intervention was given. Results： Six months later, the incidence of anxiety and depression in treatment group was signifi- cantly lower than in control group. Serum sugar, blood fat level and body mass index in treatment group were lower than in control group. At the same time, compliance in medication and rate of stopping smoking were significantly increased as compared with control group. Rate of readmission was lower in treatment group than in control group （P〈0.05, 0.01）. Conclusion： Systemic psychological and behavioral intervention could relieve the negative emotion on patients subject to emergency PTCA and stent treatment, promote cardiac rehabilitation, and improve the quality of life.