心理行为干预模式在颈动脉狭窄支架植入术患者治疗中的应用效果研究

Effects of a psychological and behavioral intervention on carotid artery stenosis in patients undergoing stent implantation

目的探讨心理行为模式在颈动脉狭窄支架植入术患者治疗护理的应用效果。方法选取2020年6月至2021年6月在安徽理工大学第一附属医院(淮南市第一人民医院)神经内科住院治疗的行颈动脉狭窄支架植入术的患者95例,按照随机数字表法分为观察组48例和对照组47例。对照组给予常规的术前术后治疗及护理,观察组在对照组的基础上医疗组专家共同参与制定针对性的心理行为模式进行围手术期管理,比较两组患者术前术后焦虑自评量表(SAS)、抑郁自评表(SDS)评分以及心率、血压变化。结果术后观察组患者SAS评分、SDS评分、心率、收缩压及舒张压分别为(43.22±3.73)分、(34.71±7.62)分、(63.22±3.73)次/min、(111.24±8.53)mmHg和(73.43±7.62)mmHg,均明显低于对照组的(44.22±4.12)分、(37.92±6.91)分、(81.98±4.14)次/min、(130.43±32.21)mmHg和(78.52±5.51)mmHg,差异均有统计学意义(均P<0.05)。结论采用心理行为干预模式可指导患者正确认识疾病,消除恐惧及抑郁等不良心理因素,提高患者生存质量。

Objective To investigate the effects of a psychological and behavioral intervention on carotid artery stenosis in patients undergoing stent implantation.Methods Ninety-five patients with carotid artery stenosis who underwent stent implantation in Department of Neurology,The First Affiliated Hospital of Anhui University of Science and Technology(Huainan First People's Hospital)from June 2020 to June 2021 were included in this study.They were randomly divided into observation group(n=48)and control group(n=47).The control group was given routine preoperative and postoperative treatment and nursing care.The observation group was given perioperative management,which was developed by medical experts to target patient's psychology and behavior,in addition to routine preoperative and postoperative treatment and nursing care.Self-Rating Anxiety Scale(SAS)score,Self-rating Depression Scale(SDS)score,heart rate and blood pressure pre-and post-surgery were compared between the two groups.Results SAS score,SDS score,heart rate,systolic blood pressure and diastolic blood pressure post-surgery in the observation group were(43.22±3.73)points,(34.71±7.62)points,(63.22±3.73)beats/min,(111.24±8.53)mmHg and(73.43±7.62)mmHg,respectively,which were significantly lower than those in the control group[(44.22±4.12)points,(37.92±6.91)points,(81.98±4.14)beats/min,(130.43±32.21)mmHg,and(78.52±5.51)mmHg,all P<0.05].Conclusion A psychological and behavioral intervention can guide patients to correctly understand carotid artery stenosis,eliminate adverse psychological factors such as fear and depression,and improve the quality of life of patients.