心理干预对冠状动脉粥样硬化性心脏病患者服药依从性及生活质量的影响

Effect of psychological intervention on the medication compliance and quality of life in patients with coronary heart disease

目的探讨心理干预对冠状动脉粥样硬化性心脏病患者服药依从性及生活质量的影响。方法入选对象为2013年12月~2014年12月入住我院的64例冠心病患者,根据护理方法不同随机分为干预组与对照组,每组32例,两组均予常规治疗和护理。干预组在上述基础上着重实施心理护理干预,比较两组干预前后SAS、SDS评分变化情况及SF-36各项生活质量评分及两组出院后6个月随访的服药依从率。结果干预组与对照组干预后的SAS评分、SDS评分分别较干预前显著降低,且干预组显著低于对照组（P〈0.05）。两组服药依从率分别为93.75%、71.88%,干预组的服药依从率显著高于对照组（P〈0.05）。干预组干预后的生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能、精神健康评分较干预前及对照组显著改善（P〈0.05）。结论对冠状动脉粥样硬化性心脏病患者实施心理干预可以缓解患者的负性心理,提高服药依从性,有效改善患者的生活质量,有利于患者疾病的康复。

Objective To investigate the effect of psychological intervention on medication compliance and quality of life in patients with coronary heart disease. Methods A total of 64 patients with coronary heart disease from December2013 to December 2014 in our hospital were randomly divided into intervention group and control group according to different nursing methods, each group with 32 cases, two groups were given interventional therapy and nursing. The intervention group on basis of the above focused on the implementation of psychological nursing intervention, SAS, SDS score changes were compared before and after the intervention between the two groups, SF-36 quality of life scores were compared before and after intervention and discharged compliance rate were compared after follow-up 6 months.Results The SAS and SDS scores of the two groups were significantly lower respectively than those before intervention,and the intervention group was significantly lower than that of the control group（P〈0.05）. The compliance rate of the two groups was 93.75% and 71.88%, the compliance rate of the intervention group was significantly higher than that of the control group（P〈0.05）. The intervention group stem of the prognosis of physiological function, physical function,bodily pain, general health, vitality, social function, role emotional and mental health scores of before were improved significantly than those after intervention and control group（ P 0.05）. Conclusion The psychological intervention on patients with coronary atherosclerotic heart disease implementing can relieve patients of negative psychology and improve medication compliance, improve the quality of life of patients, and is conducive to the rehabilitation of patients with the disease.