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目的:探究综合性心理干预对冠心病介入治疗患者焦虑、抑郁及生活质量的影响。方法:选择2014年6月~2015年6月期间我院收治冠心病性介入治疗患者3280例为研究对象,采用随机数字法将其分为观察组(1648例)和对照组(1632例),观察组患者给予常规治疗、抗抑郁治疗及综合心理干预,对照组给予常规治疗、抗抑郁治疗;采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评价患者治疗前后焦虑、抑郁状态,生活质量评价量表QLQ-C30量表评价患者治疗前后生活质量的变化情况。结果:两组患者在入院时SAS和SDS得分不存在差异(P>0.05);干预1月后两组组患者的SAS和SDS得分均出现显著降低(P<0.05),且观察组患者的SAS和SDS评分均明显低于对照组(P<0.05);干预前两组患者生存质量各维度的评分均不存在显著差异(P>0.05);干预1个月后两组患者躯体功能、角色功能、社会功能、情绪功能及总体症状较干预前均出现明显改善(P<0.05),且干预后观察组患者躯体功能、角色功能、社会功能、情绪功能及总体症状均显著优于对照组(P<0.05)。结论:冠心病介入治疗患者进行综合性心理干预能够改善患者心理状态,降低患者焦虑、抑郁情绪,提高生活质量,对临床冠心病的治疗有重要的意义。
Objective: To explore the effect of comprehensive psychological intervention on anxiety, depression and quality of life in patients with coronary artery disease. Methods: A total of 3280 patients admitted to our hospital from June 2014 to June 2015 were enrolled in this study. The patients were randomly divided into observation group (1648 cases) and control group (1632 cases) Patients in the observation group were given routine treatment, antidepressant treatment and general psychological intervention. Patients in the control group were given routine treatment and antidepressant treatment. SAS and SDS were used to evaluate anxiety and depression before and after treatment Status, quality of life evaluation scale QLQ-C30 scale evaluation of patients before and after treatment quality of life changes. Results: There was no significant difference in SAS and SDS scores between the two groups (P> 0.05). After 1 month of intervention, SAS and SDS scores decreased significantly in both groups (P <0.05), and SAS (P <0.05). There was no significant difference in quality of life between the two groups before intervention (P> 0.05). After one month intervention, the body function, role and function (P <0.05), and the social function, emotional function and overall symptoms were significantly improved compared with those before intervention (P <0.05). After the intervention, the physical, social, emotional functions and overall symptoms of the observation group were significantly better than those of the control group <0.05). Conclusion: The comprehensive psychological intervention in patients with coronary heart disease intervention can improve the psychological status of patients, reduce anxiety and depression, and improve the quality of life of patients with coronary heart disease in clinical treatment of great significance.