心理干预对主动脉夹层患者心理应激的影响

目的探讨心理干预对主动脉夹层患者心理应激的影响。方法将48例主动脉夹层患者随机分为2组,对照组及干预组,每组24例。对照组只接受常规治疗及健康宣教;干预组在进行常规治疗的同时给予心理干预。应用Zung焦虑自评量表（SAS）和Zung抑郁自评量表（SDS）,观察2组患者焦虑、抑郁改善情况及干预前、后收缩压、心率的变化。结果干预组治疗后第3天和第10天的SAS、SDS评分均低于对照组（均P〈0.05）;干预组SBP及HR也均低于对照组（均P〈0.05）。结论心理干预能减轻主动脉夹层患者心理应激程度,降低患者的收缩压及心率,减少手术并发症,有效地促进患者康复,提高生存质量。

The Psychological Intervention in Patients with Aortic Dissection on the Effects of Psychological Stress

Objective Explore the psychological intervention in patients with aortic dissection on the effects of psychological stress. Methods The 48 patients with aortic dissection were randomly divided into two groups, control group and intervention groups, each group of 24 cases. The control group only received general medical treatment and health of missionaries; intervention group,while conducting routine treatment given to psychological intervention application Zung Self-Rating Anxiety Scale（SAS）and Zung self-rating depression scale（ SDS） observed two patients anxiety,depression to improve the situation and intervention before and after the systolic blood pressure,heart rate changes. Results The intervention group 3 days after the treatment of 10 days SAS and SDS scores are lower than those of the control group（all P〈0.05）. intervention group of SBP and HR were also lower than the control group （all P〈0.05）. Conclusion Psychological intervention to reduce psychological stress in patients with aortic dissection, reduced systolic blood pressure and heart rate in patients to reduce surgical complications, the effective promotion of patients, improve the quality of life.