认知干预联合放松训练对冠心病介入治疗患者围手术期心理状态的影响

Effect of cognitive intervention combined with relaxation training on perioperative mental state of coronary heart disease patients receiving interventional therapy

目的探讨认知干预联合放松训练对冠心病介入治疗围术期患者的应用效果。方法选择2018年1月—2019年1月于本院接受介入治疗的冠心病患者90例,按随机数表法将所有患者分为2组,各45例。对照组给予常规围术期护理,观察组在对照组基础上实施认知干预联合放松训练。对比分析2组患者的心理状态、睡眠情况以及并发症发生情况。结果2组干预前心理状态、睡眠质量评分相近,差异无统计学意义(P>0.05);观察组干预后焦虑、抑郁评分分别为(38.14±2.37)分、(40.11±2.83)分,均低于对照组的(45.26±3.19)分、(48.66±3.54)分,差异有统计学意义(P<0.05);观察组干预后睡眠质量评分为(8.42±2.11)分,低于对照组的(10.37±1.77)分,差异有统计学意义(P<0.05);观察并发症发生率(11.11%)低于对照组(40.00%),差异有统计学意义(P<0.05)。结论认知干预联合放松训练可有效改善冠心病介入治疗患者围术期的心理状态,利于提升其睡眠质量,减少相关并发症的发生。

Objective To investigate the effect of cognitive intervention combined with relaxation training on peri⁃operative mental state of coronary heart disease patients receiving the interventional therapy.Methods A total of 90 patients with coronary heart disease who underwent the interventional therapy in a hospital from January 2018 to January 2019 were randomly selected and divided into a control group and a trial group by the numerical method with 45 cases in each group.The control group was given the routine perioperative nursing,and the trial group was given the cognitive inter⁃vention combined with relaxation training on the basis of the control group.The psychological state,sleep quality and compli⁃cations of the two groups were compared.Results Before the intervention,the psychological state and sleep quality scores were similar between the two groups,and the differences were not statistically significant(both P>0.05).After the interven⁃tion,the anxiety self⁃rating scale(SAS)and self⁃rating depression scale(SDS)scores in the trial group were(38.14±2.37)points and(40.11±2.83)points,which were lower than(45.26±3.19)points and(48.66±3.54)points in the control group respectively,and the differences were statistically significant(both P<0.05);the sleep quality score of the trial group was(8.42±2.11)points,which was lower than(10.37±1.77)points in the control group,and the difference was statistically significant(P<0.05);the incidence of complications in the trial group was 11.11%,which was lower than 40.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion The cognitive intervention combined with relaxation training can effectively improve the psychological state and sleep quality of the patients with coronary heart disease who underwent the interventional therapy,and reduce the incidence of related complications of them.