不同干预疗法对老年冠心病患者PCI术后焦虑抑郁情绪的影响

Effect of different intervention therapies on anxiety and depression in elderly patients with coronary heart disease after PCI

目的探讨团体咨询联合认知行为疗法对经皮冠状动脉介入术(PCI)治疗老年冠心病患者的影响。方法2019年1月至11月收治的40例开展PIC术治疗的老年冠心病患者,随机平均分为两组,对照组应用常规延续性干预,研究组同时应用认知疗法以及团体咨询。分别从生活质量、心理状态、运动功能以及不良事件等方面实施对比。结果研究组发生2例不良事件,显著低于对照组的6例(P<0.05);研究组运动功能改善率为90%,显著高于对照组的60%(P<0.05)。两组患者心理状态在干预前无明显差异,干预后心理状态得分均有一定程度下降,并且研究组下降程度明显大于对照组(P<0.05);在整体生活质量改善程度方面,研究组相较对照组优异(P<0.05)。结论团体咨询联合认知行为疗法干预效果理想,具有推广价值。

Objective To investigate the effect of group counseling combined with cognitive behavior therapy on elderly patients with coronary heart disease undergoing percutaneous coronary intervention(PCI).Methods From January to November 2019,40 elderly patients with coronary heart disease who were treated with PIC were randomly divided into two groups.The control group was treated with conventional continuous intervention,while the study group was treated with cognitive therapy and group counseling.The quality of life,psychological state,motor function and adverse events were compared.Results There were 2 cases of adverse events in the study group,significantly lower than 6 cases in the control group(P<0.05);The improvement rate of motor function in the study group was 90%,which was significantly higher than that in the control group(60%,P<0.05).There was no significant difference in psychological status between the two groups before the intervention,but the scores of psychological status decreased to a certain extent after the intervention,and the decline in the study group was significantly greater than that in the control group(P<0.05);In terms of the improvement of the overall quality of life,the study group was superior to the control group(P<0.05).Conclusion The intervention effect of group counseling combined with cognitive behavioral therapy is ideal,which is worth popularizing.