综合心理干预对急性冠脉综合征患者负性情绪和生活质量的影响

Effects of comprehensive psychological intervention on negative emotions and quality of life in patients with acute coronary syndrome

目的:探讨综合心理干预对急性冠脉综合征(ACS)患者负性情绪及生活质量的影响。方法:116例ACS患者被随机分为干预组和常规治疗组,各58例。常规治疗组采取常规护理;干预组在常规护理的基础上,进行综合心理干预。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)和西雅图心绞痛量表(SAQ)以及90项症状自评量表(SCL-90)分别于入院时和入院1个月后对两组患者进行评分。结果:两组患者入院时SDS、SAS评分比较差异无显著性(P>0.05);1个月后,与常规治疗组比较,干预组SDS[(57.41±9.10)分∶(51.34±9.02)分]、SAS评分[(53.33±8.64)分∶(45.59±8.22)分]显著降低,P均<0.01,SAQ量表中各项分值均有显著增加,SCL-90量表中各项分值均显著降低(P<0.05或P<0.01)。结论:综合性心理干预能够改善急性冠脉综合征患者的焦虑、抑郁情绪,还能明显提高其生活质量。

Objective： To explore the effects of comprehensive psychological intervention on negative emotions and quality of life in patients with acute coronary syndrome（ACS）.Methods： A total of 116 ACS cases were randomly divided into routine treatment group（n=58） and intervention group（n=58,received comprehensive psychological intervention based on routine nursing care）.Self-rating anxiety scale（SAS）,self-rating depression scale（SDS）,Seattle angina questionnaire（SAQ） and symptom checklist 90（SCL-90） were used to score in two groups on admission and one month after admission.Results： There were no significant difference between the two groups in scores of SDS and SAS on admission（P0.05）;one month after admission,compared with routine treatment group,scores of SDS [（57.41±9.10） scores vs.（51.34±9.02） scores] and SAS [（53.33±8.64） scores vs.（45.59±8.22） scores] significantly decreased in intervention group,P0.01 both;all of the scores of SAQ scale significantly increased while all scores of SCL-90 scale significantly decreased on one month after admission in intervention group（P0.05 or P0.01）.Conclusion： Comprehensive psychological intervention can improve anxiety,depression and quality of life in patients with acute coronary syndrome.