摘要
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.
出处
《心血管康复医学杂志》
CAS
2011年第3期193-196,共4页
Chinese Journal of Cardiovascular Rehabilitation Medicine
基金
2010年度湖南省医药卫生科研计划项目(2010-015)
关键词
心理疗法
冠状动脉疾病
焦虑
抑郁
Psychotherapy
Coronary artery disease
Anxiety
Depression