认知行为干预对PCI术后患者生活质量的影响

Clinical effects of cognitive behavioral therapy on the quality of life in patients after percutaneous coronary intervention

目的：探讨认知行为干预对PCI术后患者生活质量的影响。方法按照随机数字表法将80例PCI术后患者随机分为干预组与对照组，每组40例。对照组实施PCI术后常规护理方法。干预组PCI术后患者在采取同样护理方法的前提下，结合认知行为干预进行护理。对两组患者护理干预前后的心理状况及生活质量进行观察，对比两组患者再次入院率及心血管恶性事件发生情况。结果干预前干预组和对照组生活质量评分分别为（118．2±18．5），（111．4±17．1）分，差异无统计学意义（t＝1．71， P＞0．05）；干预后6个月，干预组生活质量评分为（131．2±18．3）分，优于对照组的（118．3±11．2）分，差异有统计学意义（t＝3．80，P＜0．05）；干预后1年，干预组生活质量评分为（158．2±14．5）分，优于对照组的（121．7±10．3）分，差异有统计学意义（t＝12．98，P＜0．05）。两组冠心病患者出院后回访1年心血管事件比较，干预组患者冠状动脉再狭窄2例（5．0％）、再次入院6例（15．0％），对照组分别为8例（12．5％），14例（35．0％），干预组优于对照组，差异有统计学意义（χ2值分别为4．10，4．27；P＜0．05）。结论在采用常规护理的同时给予PCI术后患者认知行为干预能有效地提高PCI术后患者的生活质量。

Objective To explore the clinical effects of cognitive behavioral therapy on the quality of life in patients after percutaneous coronary intervention （ PCI ） .Methods Eighty patients after PCI treatment were randomly divided into the experimental group and control group .The patients in the control group received cardiology conventional nursing , while the patients in the experimental group received cognitive behavioral therapy .The psychological status , quality of life （ QOL） , readmission rate and the major adverse cardiovascular events （ MACE） of the two groups were observed and compared .Results The score of QOL of the experimental group and the control group were （118.2 ±18.5） and （111.4 ±17.1）, and there was no significant difference （t=1.71, P ＆gt;0.05）.After six month of intervention, the score of QOL of the experimental group was （131.2 ±18.3）, which was significantly higher than （118.3 ±11.2） of the control group （ t=3.80, P＆gt;0.05）.After one year of intervention , the score of QOL of the experimental group was （158.2 ±14.5）, which was significantly higher than （121.7 ±10.3） of the control group （t=12.98, P＆gt;0.05）.In the experimental group, 2 patients （5.0%） had re-stenosis in coronary artery;6 patients （15.0%） readmitted to the hospital. Those in the control were 8 patients （12.5%）, 14 patients （35.0%）, respectively.There were significant differences in each of these four events between the two groups （χ2 =4.10, 4.27, respectively;P〈0.05）. Conclusions The cognitive behavioral therapy can effectively improve the QOL in patients with PCI .