| 杨静 邢攸红 杨玉 冯碧芳 赵鑫.综合性心理干预对冠心病介入治疗患者抑郁焦虑及生活质量的影响[J].,2016,16(10):1949-1951 |
| 综合性心理干预对冠心病介入治疗患者抑郁焦虑及生活质量的影响 |
| Effect of Comprehensive Psychological Intervention on Depression andAnxiety and Life Quality of Interventional Therapy Patients with CoronaryHeart Disease |
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| DOI： |
| 中文关键词: 心理干预 冠心病 介入治疗 抑郁 焦虑 生活质量 |
| 英文关键词: Psychological intervention Coronary heart disease Interventional therapy Depression Anxiety Quality of life |
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| 中文摘要: |
| 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。 |
| 英文摘要: |
| Objective:To explore the effect of comprehensive psychological intervention on depression and anxiety and life
quality of interventional therapy patients with coronary heart disease.Methods:3280 cases of patients with coronary heart disease in our
hospital during the period from June 2014 to June 2015 were selected as the research object, which were divided into observation group
(1648 patients) and control group (1638 patients) by random number table method; Patients in observation group were treated with
conventional therapy, antidepressant treatment and comprehensive psychological intervention and patients in control group were treated
with conventional therapy, antidepressant treatment; Self rating Anxiety Scale (SAS) and self rating depression Scale (SDS) were used to
evaluate the anxiety and depression status of patients before and after treatment; quality of life rating scale (QLQ-C300) were used to
evaluate the quality of life of the patients before and after treatment.Results:The scores of SDS and SAS between two groups had no
significant differences before treatment(P>0.05); The scores of SAS and SDS were significant declined after 1 month intervention in both
two groups, and patients in observation group were significantly lower than those in the control group (P<0.05); There was no significant
difference in the quality of life of the two groups before the intervention (P>0.05); The body function, role function, social function,
emotional function, and general symptoms of the patients were significantly improved after 1 months of intervention (P<0.05), and
patients in observation group were significantly better than those in the control group(P<0.05).Conclusion:Comprehensive psychological
intervention is able to improve the psychological status of patients with coronary heart disease, reduce the anxiety and depression,
improve the quality of life, which is important for clinical treatment of coronary heart disease. |
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