双心医学模式治疗冠心病伴焦虑状态患者的疗效观察

Effectiveness Observation of Psychology-Cardiology Medicine Model in Coronary Heart Disease Patients with Anxiety State

目的:探讨对冠心病(CHD)伴焦虑状态患者实施双心医学模式干预的临床效果。方法:选取2017年1月-2019年12月北京市通州区新华医院与北京市西城区牛街社区卫生服务中心收治的CHD伴焦虑状态310例患者,随机分为对照组与观察组,各155例,对照组实施常规护理干预,观察组实施双心医学模式干预,比较两组焦虑评分、生活质量评分和心功能指标水平差异。结果:观察组干预后的汉密尔顿焦虑量表和焦虑自评量表评分均低于对照组,差异有统计学意义(P<0.05);观察组干预后心理、环境、生理、独立性和社会关系五个领域评分均高于对照组,差异有统计学意义(P<0.05);观察组治疗后每搏输出量、心排出量、射血分数水平高于对照组,左心室舒张早期与晚期速度峰值比值低于对照组,差异有统计学意义(P<0.05)。结论:对CHD伴焦虑状态患者实施双心医学模式可以有效改善其焦虑状态,提高患者的心功能水平,提升其生活质量,临床干预效果显著。

Objective:To explore the clinical effects of psychology-cardiology medicine model in coronary heart disease(CHD)patients with anxiety state.Methods:A total of 310 CHD patients with anxiety state who were treated in Xinhua Hospital of Tongzhou District and Niujie Community Health Service Center of Xicheng District in Beijing from January 2017 to December 2019 were selected and randomly divided into control group and observation group,with 155 cases in each group.The control group was given routine nursing intervention,and the observation group was given psychology-cardiology medicine intervention.The differences in anxiety scores,quality of life scores and cardiac function indexes were compared between the two groups.Results:The scores of Hamilton Anxiety Scale and Self-rating Anxiety Scale in the observation group after intervention were lower than those in the control group,and the difference was statistically significant(P<0.05).The scores of the five domains(psychology,environment,physiology,independence and social relations)in the observation group after intervention were all higher than those in the control group,and the difference was statistically significant(P<0.05).After treatment,the stroke volume,cardiac output and ejection fraction in the observation group were higher than those in the control group,while the left ventricular early diastolic peak velocity to late peak velocity ratio was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Implementing the psychology-cardiology medicine model for CHD patients with anxiety state can effectively improve their anxiety state,their cardiac function and their quality of life,and the clinical intervention effect is significant.