对冠心病患者实施心理干预的效果与评价

Effects of Psychological Intervention on Patients with Coronary Heart Disease

目的探讨对冠心病患者实施心理干预的临床效果。方法将120名住院冠心病患者随机分为干预组和对照组各60人,两组均接受心内科常规治疗,干预组在此基础上按照既定的干预方案进行心理干预,采用两组间干预前后对照的方法,运用自测健康评定量表(SRHM S)和西雅图心绞痛调查量表(SAQ)于干预前后评价所有入选患者,比较两组临床疗效。结果干预前,两组SRHM S和SAQ评分均无显著性差异(P>0.05),干预后进行干预效果调查,干预组在自测健康的3个维度和总得分上的差值高于对照组(t=2.772,7.779,6.403,7.035;P<0.01);干预组在心绞痛发作状态、治疗满意度和疾病认识程度3个维度及西雅图总分上的差值也都明显高于对照组(t=1.015,8.774,6.771,9.972,P<0.01),且干预组的临床疗效显著高于对照组(2χ=16.536,P<0.01),干预组平均住院天数明显缩短。结论心理干预能有效改善冠心病患者的心身症状,提高临床治疗效果。

Objective To explore the effects of psychological intervention on psychosomatic and physical recovery in patients with coronary heart disease（CHD）.Methods A total of 120 patients with CHD hospitalized were randomly divided into intervention group and control group with 60 cases each.The intervention group accepted psychologocal intervention plus routine medication while the control group only accepted routine medication.Each group was asked to answer the Self-rated Health Measure Scale（SRHMS） and Seattle Angina Questionaire（SAQ） before and after intervention.Results There were no significant differences between the intervention group and the control group in SRHMS score and SAQ score（P0.05） before intervention.But after psychological intervention,the dissimilarity between three dimensions of self-rated health and total score in the intervention group was higher than that in the control group（t=2.772,7.779,6.403,7.035;P0.01）;the dissimilarity between three dimensions of angina pectoris attacks state,treatment satisfactory and awareness,and SAQ total score in the intervention group was significant higher than that in the control group（t=1.015,8.774,6.771,9.972;P0.01）.The clinical therapeutic efficacy of the intervention group was significantly better than that of the control group（P0.01）.The average time of being in hospital of the intervention group was shorter than that of the control group.Conclusion Psychological intervention can improve both psychosomatic and physical symptoms in patients with CHD.