五志相胜心理干预对冠心病患者的影响

The impact of psychological intervention of the five-emotion restrictive therapy oncoronary heart disease

目的观察五志相胜心理干预对冠心病患者的影响。方法将109例住院的冠心病患者按住院时间顺序随机分为对照组53例、实验组56例。对照组给予常规治疗；实验组在常规治疗基础上，针对患者“怒、思、忧”情绪特点施以五志相胜心理干预治疗。采用焦虑自评量表（SAS）和抑郁自评量表（SDS）对患者入院后1d、出院前1d进行记录分析，统计SAS、SDS评分。同时比较两组的心电图变化情况。结果与对照组比较，实验组出院前1d的SAS、SDS评分分别为（41．9±7．4）分、（38．6±8．4）分，差异均有统计学意义（p均〈0．01）。干预后，对照组、实验组的心电图总有效率分别为64．15％、92．85％，差异有统计学意义（P〈0．01）。结论五志相胜心理干预可及时消除负性情绪，有助于冠心病患者的康复。

Objective To observe the impact of the five-emotion restrictive therapy on coronary heartdisease. Methods 109 hospitalized patients with coronary heart disease were randomly divided into a experimental of 56 patients and a control group of 53 patients according to length of stay. The control group was treated with the conventional therapy; the experimental group was imposed five-emotion restrictive psychological intervention on the basis of conventional therapy. The investigation was done using self-rating anxiety scale （SAS） and self-rating depression scale （SDS） on 1 day after admission and ld before discharge respectively. SAS and SDS scores were surveyed. At the same time Holter monitoring and normal ECG test were compared. Results Compared with control group, the experimental group 1 d before discharge of the SAS and SDS scores were （41.9±7.4） and （38.6 ± 8.4）, and the difference was statistically significant （P〈0.01） . The total effective rate of Holter monitoring and normal ECG was 64.15% and 92.85% in the control and experimental group, and the difference was significant （P〈0.01） . Conclusion The pathological seven emotions have a certain affection on the incidence of coronary heart disease, treatment and prognosis of the course. Five-emotion restrictive psychological intervention can adjust timely psychological state of patients, eliminate negative emotions, and significantly help the incidence, treatment and prognosis of the disease.