认知重建技术对冠状动脉旁路移植术患者抑郁状态的影响

Effects of Cognitive Reconstruction on Depression in Patients Undergoing Coronary Artery Bypass Grafting

目的探讨认知重建技术对冠状动脉旁路移植术(CABG)患者抑郁状态的影响。方法选取2018年9月至2019年10月于洛阳市中心医院诊断为冠心病且拟行CABG的68例患者。根据筛选出轻中度抑郁患者的先后顺序将患者分为对照组(34例)和观察组(34例)。对照组患者接受常规护理和心理社会支持。在常规护理的基础上,对观察组患者增加认知重建技术干预。分别于患者入院时、手术前与出院时使用抑郁自评量表(SDS)评价患者的抑郁情况。分别于患者入院时和出院时使用西雅图心绞痛量表(SAQ)评估并比较两组患者的生活质量。结果手术前和出院时,观察组SDS评分低于对照组(P<0.05)。干预后,观察组躯体活动受限程度评分、治疗满意程度评分和疾病认知程度评分高于对照组(P<0.05)。干预后,观察组心绞痛稳定状态评分、心绞痛发作情况评分与对照组比较,差异无统计学意义(P>0.05)。结论认知重建技术可以改善接受CABG治疗的冠心病患者的抑郁状态,提高患者的生活质量。

Objective To investigate the effect of cognitive reconstruction on depression in patients undergoing coronary artery bypass grafting(CABG).Methods From September 2018 to October 2019,68 patients with coronary heart disease diagnosed in Luoyang Central Hospital were selected.The patients were divided into control group(34 cases)and observation group(34 cases)according to the order of screening out mild to moderate depression patients.Patients in control group received routine care and psychosocial support.On the basis of routine nursing,cognitive reconstruction technique intervention was added to the patients in observation group.Self-rating depression scale(SDS)was used to evaluate depression at admission,before operation and at discharge.Seattle angina questionnaire(SAQ)was used to evaluate and compare the quality of life between the two groups at admission and discharge.Results Before operation and at discharge,the SDS score in observation group was lower than that in control group(P<0.05).After intervention,the scores of physical activity limitation,treatment satisfaction and disease cognition in observation group were higher than those in control group(P<0.05).After intervention,there was no statistic difference in the scores of stable state and attack of angina pectoris(P>0.05).Conclusion Cognitive reconstruction could improve the depression of patients with coronary heart disease treated by CABG and improve the quality of life of patients.