综合护理干预对经皮冠状动脉介入治疗患者焦虑与抑郁及心理自评状况的影响

Influence of comprehensive nursing intervention on anxiety,depression and self-perceiving of patients with percutaneous coronary intervention

目的研究综合护理干预对经皮冠状动脉介入治疗患者焦虑、抑郁及心理自评状况的影响。方法收集我院心血管内科2013年1月~2015年1月收治的的100例将行经皮冠状动脉介入治疗冠心病患者,随机分为对照组(50例)和实验组(50例),在PCI术前均进行焦虑自评量表(SAS)、抑郁自评量表(SDS)和症状自评量表(SCL-90)测评,对照组行常规基础护理,实验组在常规基础护理上再行综合护理干预,术后再次对100例患者实行心理测评,最后将患者的术前测评和术后测评进行对比分析。结果干预前实验组和对照组的SAS、SDS和SCL-90三类测评数值均大于各类检测评分的阈值,两组间比较,差异不具有统计学意义(P>0.05);进行综合护理干预之后,实验组的SAS、SDS、SCL-90的评分明显较干预前低,对照组的SAS、SDS和SCL-90的评分明显较干预前高。干预后对照组SAS、SDS、SCL-90的评分明显高于实验组,差异均有统计学意义(P<0.05)。结论冠心病患者行PCI治疗存在焦虑、抑郁等不良情绪,综合护理干预对经皮冠状动脉介入治疗患者焦虑、抑郁及心理自评状况具有改善效果,可在临床应用和推广。

Objective To investigate the influence of comprehensive nursing intervention on anxiety, depression and self-perceiving of patients with pereutaneous coronary intervention. Methods 100 patinets with CHD in our hospital from January 2013 to January 2015 were selected and divided into control group and observation group. They were given SAS, SDS and SCL-90 PCI. The control group was given common nursing. The observation group was given eomprehen sive nursing intervention based on the methods of control group. After surgery, the psychological tests were given to pa- tients. Results SAS, SDS and SCL 90 of two groups before intervention were large than threshold value （P〉0.05）. After different intervention, SAS, SDS and SCL-90 of observation group were higher than that of control group. SAS, SDS and SCL-90 of control group were higher than that before intervention. SAS, SDS and SCL-90 of control group after intervention were higher than that of observation group （P〈0.05）. Conclusion CHD patients after PCI may exist anxie ty and depression. Comprehensive nursing intervention can improve condition of patients and is worthy of wide application and promotion