社区早期心理干预对不稳定型心绞痛患者的影响

Community Early Nursing Intervention on Psychological Status in Patients with Unstable Angina Pectoris Analysis

目的分析社区早期心理干预对不稳定型心绞痛患者心理状况的影响。方法将84例伴有不同程度焦虑情绪的不稳定型心绞痛患者随机分为干预组(42例)与对照组(42例)。两组患者均接受内科常规药物治疗,干预组同时给予社区心理干预治疗,随访1年。于治疗前及治疗后1个月后采用焦虑自评量表评定患者的焦虑状况,比较治疗后及随访期间两组患者心血管事件发生情况。结果治疗1个月后,干预组心绞痛缓解总有效率为95%,对照组为74%,差异有统计学意义(P<0.05);心电图ST段变化干预组总有效率86%,对照组为67%,差异有统计学意义(P<0.05)。治疗1个月后两组焦虑自评量表评分均较治疗前有显著性下降(P均<0.01),但干预组较对照组下降更显著(P<0.01);干预组住院天数显著低于对照组(P<0.01);治疗后干预组心血管事件发生率显著低于对照组(P<0.05)。结论社区早期心理干预可减轻或缓解不稳定型心绞痛患者焦虑等负性情绪,缩短住院时间,减少心血管事件的发生,改善预后,提高患者生活质量。

Objective To analyze through community - based early care and intervention on the psychological status of patients with unstable angina pectoris changes. Methods 84 patients with varying degrees of anxiety in patients with unstable angina were randomly divided into intervention group 42 cases, 42 cases of the control group. Both groups received conventional medical therapy, intervention group patients are also given to community nursing intervention in the treatment, followed up for 1 year. Before and after treatment in the treatment of 1 month after assessment of self - rating anxiety scale in patients with anxiety, comparing the two groups after treatment and follow - up period of the occurrence of cardiovascular events. Results One month later, the intervention group to alleviate angina total efficiency of 95% in the control group 74% （P 〈 0.05 ） ; ECG ST segment changes in the intervention group the total effective rate 86%, control group 67% （P 〈0. 05 ）. 1 month after treatment both groups than those in self - rating anxiety scale score before treatment was significantly decreased （ Pall 〈 0.01 ）, but the inter- vention group decreased more significantly than the control group （P 〈0. 01 ） ; intervention group was hospitalized the number of days was significantly lower than the control group （P 〈 0. 01 ） ; intervention group after treatment the incidence of cardiovascular events was significantly lower than the control group （P 〈 0. 05 ）. Conclusion Early intervention in community care reduce or mitigate the anxiety of patients with unstable angina pectoris and other negative emotions, reduce hospitalization time, reducing the occurrence of cardiovascular events and improve prognosis and improve patient quality of life.