不同心理干预方法对逆向介入治疗冠状动脉慢性完全闭塞患者心理状态和认知能力及生活质量的影响研究

Impact of different psychological intervention methods on psychological state,cognitive ability and quality of life of patients with coronary chronic total occlusion undergoing reverse intervention treatment

目的探讨不同心理干预方法对逆向介入治疗冠状动脉慢性完全闭塞(CTO)患者心理状态和认知能力及生活质量的影响。方法选取2020年2月21日至2022年4月1日在首都医科大学附属北京安贞医院心内科进行逆向介入治疗的150例冠状动脉CTO患者为研究对象。所有患者完全随机分为微信干预组和常规干预组,各75例。常规干预组患者住院期间接受常规心理干预;微信干预组患者接受基于微信工具的心理干预。比较2组一般资料及干预前后心理状态和认知能力及生活质量相关量表评分。结果2组性别、年龄分布、文化程度、职业、婚姻状态、民族、医疗保险及家庭人均月收入情况差异均无统计学意义(均P>0.05)。干预后微信干预组焦虑自评量表、抑郁自评量表评分低于干预前和常规干预组[组间:(25±3)分比(28±4)分、(31±6)分比(35±6)分],蒙特利尔认知评估量表、简易智力状态检查量表评分高于干预前,差异均有统计学意义(均P<0.05)。2组干预后日常生活活动能力量表、匹兹堡睡眠质量指数评分比较及与本组干预前比较差异均无统计学意义(均P>0.05)。结论与常规心理干预方法相比,以微信为工具载体的心理干预可以更好地改善逆向介入治疗CTO患者心理健康状态。此外本方法还能提高患者的认知能力。

Objective To discuss the impact of different psychological intervention methods on psychological state,cognitive ability and quality of life of patients with coronary chronic total occlusion(CTO)undergoing reverse intervention treatment.Methods From February 21,2020 to April 1,2022,150 patients with coronary CTO undergoing reverse interventional treatment in Department of Cardiology,Beijing Anzhen Hospital,Capital Medical University were selected.The patients were completely randomized into WeChat intervention group and routine intervention group,with 75 cases each.The routine intervention group received routine psychological intervention during hospitalization;the WeChat intervention group received psychological intervention based on WeChat tools.The general information,psychological status,cognitive ability,and quality of life related scale scores before and after intervention were compared between the two groups.Results There were no statistically significant differences in gender,age,educational level,occupation,marital status,ethnicity,medical insurance,and per capita monthly income between the two groups(all P>0.05).After the intervention,scores of self-rating anxiety scale and self-rating depression scale in the WeChat intervention group were lower than those before the intervention and in the routine intervention group[inter group:(25±3)vs(28±4),(31±6)vs(35±6)],and the Montreal cognitive assessment and mini-mental state examination scores were higher than those before the intervention(all P<0.05).After intervention,there were no significant differences in scores of activities of daily living scale,Pittsburgh sleep quality index between the two groups and there was no significant difference with before intervention in each group(all P>0.05).Conclusions Compared with routine psychological intervention methods,psychological intervention using WeChat as a tool carrier can better improve the psychological health status of CTO patients undergoing reverse intervention treatment.In addition,this method can also improve the patient′s cognitive ability.