认知行为干预对PCI术后患者生活质量的影响

目的：探讨认知行为干预对PCI术后患者生活质量的影响。方法按照随机数字表法将80例PCI术后患者随机分为干预组与对照组，每组40例。对照组实施PCI术后常规护理方法。干预组PCI术后患者在采取同样护理方法的前提下，结合认知行为干预进行护理。对两组患者护理干预前后的心理状况及生活质量进行观察，对比两组患者再次入院率及心血管恶性事件发生情况。结果干预前干预组和对照组生活质量评分分别为（118．2±18．5），（111．4±17．1）分，差异无统计学意义（t＝1．71， P＞0．05）；干预后6个月，干预组生活质量评分为（131．2±18．3）分，优于对照组的（118．3±11．2）分，差异有统计学意义（t＝3．80，P＜0．05）；干预后1年，干预组生活质量评分为（158．2±14．5）分，优于对照组的（121．7±10．3）分，差异有统计学意义（t＝12．98，P＜0．05）。两组冠心病患者出院后回访1年心血管事件比较，干预组患者冠状动脉再狭窄2例（5．0％）、再次入院6例（15．0％），对照组分别为8例（12．5％），14例（35．0％），干预组优于对照组，差异有统计学意义（χ2值分别为4．10，4．27；P＜0．05）。结论在采用常规护理的同时给予PCI术后患者认知行为干预能有效地提高PCI术后患者的生活质量。

Clinical effects of cognitive behavioral therapy on the quality of life in patients after percutaneous coronary intervention

Objective To explore the clinical effects of cognitive behavioral therapy on the quality of life in patients after percutaneous coronary intervention （ PCI ） .Methods Eighty patients after PCI treatment were randomly divided into the experimental group and control group .The patients in the control group received cardiology conventional nursing , while the patients in the experimental group received cognitive behavioral therapy .The psychological status , quality of life （ QOL） , readmission rate and the major adverse cardiovascular events （ MACE） of the two groups were observed and compared .Results The score of QOL of the experimental group and the control group were （118.2 ±18.5） and （111.4 ±17.1）, and there was no significant difference （t=1.71, P ＆gt;0.05）.After six month of intervention, the score of QOL of the experimental group was （131.2 ±18.3）, which was significantly higher than （118.3 ±11.2） of the control group （ t=3.80, P＆gt;0.05）.After one year of intervention , the score of QOL of the experimental group was （158.2 ±14.5）, which was significantly higher than （121.7 ±10.3） of the control group （t=12.98, P＆gt;0.05）.In the experimental group, 2 patients （5.0%） had re-stenosis in coronary artery;6 patients （15.0%） readmitted to the hospital. Those in the control were 8 patients （12.5%）, 14 patients （35.0%）, respectively.There were significant differences in each of these four events between the two groups （χ2 =4.10, 4.27, respectively;P〈0.05）. Conclusions The cognitive behavioral therapy can effectively improve the QOL in patients with PCI .