论文部分内容阅读
目的观察心理干预对急诊经皮冠状动脉介入术(PCI)治疗急性心肌梗死合并心肌桥患者效果的影响。方法选取急诊PCI术中发现合并心肌桥患者120例,随机分成干预组和对照组各60例,对照组给予常规治疗,干预组在常规治疗基础上给予健康教育和心理干预,采用Zung焦虑自评量表(SAS)和抑郁自评量表(SDS)分别于干预前、干预后3个月对患者进行焦虑、抑郁情况评估,并比较2组患者在干预后3个月内心绞痛、心脏事件及再住院发生率。结果干预后3个月2组SAS、SDS评分均低于干预前,且干预组SAS、SDS评分明显低于对照组,差异均有统计学意义(P<0.05)。干预后3个月干预组心绞痛、心脏事件、再入院发生率均低于对照组,差异有统计学意义(P<0.05)。结论心理干预能改善急诊PCI术中发现合并心肌桥患者焦虑抑郁情绪,降低患者不良预后发生率。
Objective To investigate the effect of psychological intervention on acute myocardial infarction (AMI) patients with myocardial bridge in emergency percutaneous coronary intervention (PCI). Methods A total of 120 patients with myocardial bridge were randomly divided into intervention group and control group, with 60 cases in each group. The control group was given routine treatment. The intervention group was given health education and psychological intervention on the basis of routine treatment. (SAS) and Self-rating Depression Scale (SDS) were used to evaluate the anxiety and depression of the patients before intervention and 3 months after the intervention. The angina pectoris and cardiac events were compared between the two groups within 3 months after intervention Re-hospitalization rate. Results The scores of SAS and SDS in the two groups after intervention were lower than those before intervention. SAS and SDS scores in the intervention group were significantly lower than those in the control group (P <0.05). The incidence of angina pectoris, cardiac events and readmission in intervention group at 3 months after intervention was lower than that in control group (P <0.05). Conclusions Psychological intervention can improve anxiety and depression in patients with myocardial bridge in emergency PCI and reduce the incidence of adverse prognosis.