认知行为干预在急性冠脉综合征患者行急诊介入治疗围手术期中的应用

Effect of cognitive behavioral intervention in the periperation intervention treatment of patients with acute coronary syndrome

目的：探讨认知行为干预在急性冠脉综合（ACS）患者行急诊介入中的治疗效果。方法：选择我院2011年1月~2013年12月收入的ACS患者共122例,随机等分为观察组及对照组,对照组给予常规护理,观察组在此基础上给予认知行为干预,对比两组患者术后卧床时间、住院时间和术前SAS评分。结果：观察组卧床时间及住院时间明显低于对照组,差异有统计学意义（P〈0.05）,观察组失眠、腰酸背痛、小便困难、烦躁、血肿等例数明显低于对照组,观察组患者SAS评分明显低于对照组（P〈0.05）。结论：认知行为干预能够明显降低急性冠脉综合症患者行急诊介入治疗围术期出现的各种不适症状,值得临床推广应用。

Objective：Through effective nursing intervention to reduce the emergency interventional therapy in patients with acute coronary syndrome of vari-ous perioperative discomforts. Methods：In our hospital from January 2011 to December 2013 revenue of patients with acute ACS were 122 cases,according to the order of admission patients were randomly divided into nursing intervention group and control group. To compare nursing effect of two groups. Results：The intervention group time in bed and hospitalization time was significantly lower than that of the control group,the results were statistically significant,P 〈0. 05. The intervention group insomnia,back pain,difficulty urinating, irritability,hematoma incidence and SAS score were all significantly lower than the control group,the results were statistically significant,P 〈 0. 05. Conclusion：The effective nursing intervention to patients with acute coronary syndrome e-mergency interventional therapy of various perioperative discomfort symptoms significantly reduced,it is worthy of clinical application.