智谋训练对PCI术后抑郁患者的影响研究

Effect of resourcefulness training on depressed patients after Percutaneous Coronary Intervention

目的:分析智谋训练对PCI术后抑郁患者智谋水平和抑郁症状的影响。方法:按行PCI术的时间顺序,将某三级甲等医院收治的73例PCI术后抑郁患者分为对照组(n=37)和干预组(n=36),各37例。对照组给予常规护理,干预组给予常规护理结合智谋训练,干预3个月。干预前、干预3个月后、干预6个月后采用智谋量表(RS)、中文版冠心病患者抑郁量表(C-CDS),干预3个月后及干预6个月后统计心绞痛发作次数、心因性门诊就诊次数,评价干预方案效果。结果:干预前,两组患者智谋水平、抑郁症状差异无统计学意义(P>0.05)。干预3个月后,干预组RS得分高于对照组,C-CDS得分、心绞痛发作次数及心因性门诊就诊次数低于对照组,差异有统计学意义(P<0.05);干预6个月后,干预组C-CDS得分和心绞痛发作次数低于对照组,差异有统计学意义(P<0.05)。重复测量方差分析发现两组患者C-CDS、RS得分在不同时间点差异有统计学意义(P<0.05);协方差分析发现,排除时间效应后,两组患者RS得分、C-CDS得分组间效应差异有统计学意义(P<0.05)。结论:智谋训练可使PCI术后抑郁患者智谋水平提高、抑郁症状减轻。

Objective:To analyze the effect of resourcefulness training on resourcefulness level and depressive symptoms in depressed patients after Percutaneous Coronary Intervention(PCI).Methods:According to the time order of PCI,73 patients with depression were divided into control group(n=37)and intervention group(n=36),and the intervention time was 3 months.The control group was given routine nursing care,and the intervention group was given routine nursing care combined with resourcefulness training.Resourcefulness Scale(RS),Chinese version of Cardiac Depression Scale(C-CDS)were assessed before intervention(T1),3 months after the intervention(T2),and 6 months after the intervention(T3);the frequency of angina attacks,cardiogenic outpatient visits were counted at T2 and T3 to evaluate the efficacy of the intervention.Results:Before intervention,there was no statistical significance in the level of resourcefulness and depression symptoms(P>0.05).At T2,the RS score of the intervention group was higher than that of the control group,the C-CDS score,the frequency of angina attacks and cardiogenic outpatient visits were lower than the control group,the differences were statistically significant(P<0.05).At T3,the C-CDS score and angina attack frequency in the intervention group were lower than those in the control group(P<0.05).The repeated analysis of variance found that the differences of C-CDS and RS scores between the two groups at different time points were statistically significant(P<0.05).Covariance analysis found that after excluding the time effect,patient's C-CDS scores and RS scores were statistically different between the two groups(P<0.05).Conclusion:Resourcefulness training can improve the resourcefulness level and relieve their depressive symptoms of depressed patients after PCI.