心理干预对绝经期后冠心病合并焦虑症患者的影响

Influence of patients postmenopausal coronary atherosclerotic heart disease patients combined with anxiety aisorder after mental intervention

目的:探讨心理干预对200例入住心血管内科的绝经后冠心病合并焦虑症状患者的影响。方法:将200例患者随机分为干预组及对照组,各100例,对干预组患者实施了包括心理支持、认知干预和社会支持等一系列的心理干预,对对照组的患者只给予一般的心理支持与常规的护理。结果:按照焦虑自我评定量表(self-rating anxietyscale,SAS)对患者进行评分评价并比较,干预前两组评分差异无统计学意义(P>0.05);干预后两组评分差异有统计学意义(P<0.05),对照组患者的焦虑程度较实验组高。结论:心理干预能有效降低患者的焦虑程度水平,提高患者及家属对疾病认知能力水平,促进了患者的疾病康复,提高了患者的生活及工作水平,同时也融洽了护患关系。

Objective： To discuss the anxiety level of 200 cases of CHD patients postmenopausal coronary atherosclerotic heart disease patients combined with anxiety aisorder after mental and the effect of systemic mental intervention on anxiety. Methods： 200 cases of patients were randomized into experimental group （100 cases） and control group （100 cases）. Patients in experimental group were performed with systemic mental intervention which involves cognition intervention, psychological support, and sodial support, Patients in control group were performed with general psychological support and routine nursing care. Results： There was significant difference between experimental group and control group in scores of SAS （self-rating anxiety scale） before accepting intervention （P〉0.05）. And there was significant difference between experimental group and control group in scores of SAS after accepting intervention （P〈0.05）, the anxiety level of patients in control group was higher. Conclusion： Patients with CHD aisorder after mental have decreased degrees of anxiety. Systemic health education and systemic mental intervention could effectively reduce the anxiety level of CHD patients,patients and family members on knowledge in patients to improve, patients with disease get well from illness with promote, and patients in quality of life or work ability to promote, nurse is getting along very well with their patients, too.