认知行为干预对急性冠状动脉综合征并发心律失常患者的心理状态及睡眠质量的影响

Effect of cognitive behavior intervention on psychological state and sleep quality of patients with acute coronary syndrome complicated with arrhythmia

目的分析认知行为干预对急性冠状动脉综合征并发心律失常患者的心理状态及睡眠质量的影响。方法选择2017年1月~2020年1月我院收治的103例急性冠状动脉综合征并发心律失常患者为主要研究对象,采用随机数字表法分组,两组患者均给予经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI),在此基础上,对照组51例患者给予常规心理干预,观察组52例患者给予认知行为干预,对比两组患者干预前后焦虑抑郁情绪、睡眠质量、疾病应对方式及生活质量变化。结果干预后,观察组患者的SDS、SAS和PSQI评分低于对照组,SF-36评分高于对照组,MCMQ评分内回避、屈服项评分低于对照组,面对项评分高于对照组(P<0.05)。结论认知行为干预能够有效消除急性冠状动脉综合征并发心律失常患者的焦虑抑郁情绪,改善患者疾病应对方式及睡眠质量,提升生活质量。

Objective To analyze the effect of cognitive behavior intervention on psychological state and sleep quality of patients with acute coronary syndrome complicated with arrhythmia. Methods A total of 103 patients with acute coronary syndrome complicated with arrhythmia from January 2017 and January 2020 in our hospital were collected and randomly divided into two groups :. Both groups were given percutaneous coronary intervention(PCI). On this basis,the control group(51 cases)received routine psychological intervention,the observation group(52 cases)received cognitive behavioral intervention,the changes of anxiety and depression,sleep quality,disease coping style and quality of life after intervention between the two groups were compared. Results After intervention,SDS,SAS and PSQI scores in the observation group were lower than those in the control group,SF-36 scores were higher than those in the control group,MCMQ scores for internal avoidance,yield items were lower than those in the control group,and face items were higher than those in the control group(P<0.05). Conclusion Cognitive behavioral therapy can effectively eliminate the anxiety and depression of patients with acute coronary syndrome complicated with arrhythmia,improve the patient’s coping style and sleep quality,and improve the quality of life.