CAJ | 학술논문

目的:探讨对患有焦虑症的绝经后冠心病患者在进行心理干预前后医院患者焦虑情绪评定量表测定评分及心肌耗氧量变化,研究心理干预与患者焦虑情绪及心肌耗氧量之间的相关性.方法:将85例经医院患者焦虑情绪评定量表诊断为焦虑症的住院的绝经后冠心病患者随机分为干预组45例与对照组40例,对干预组进行心理干预,对照组行常规护理.分别测定两组干预前后的焦虑情绪评分及心肌耗氧量并进行比较.结果:两组患者医院患者焦虑情绪评定量表评分及心肌耗氧量在心理干预后均较干预前有较明显的下降(P<0.01),但干预组患者较对照组患者在医院患者焦虑情绪评定量表评分及心肌耗氧量的下降更为明显(P<0.05).结论:对患有焦虑症的冠心病患者在积极治疗原发病的同时,给予有效的心理干预,能显著降低患者的心肌耗氧量,改善患者的焦虑情绪.
목적:탐토대환유초필증적절경후관심병환자재진행심리간예전후의원환자초필정서평정량표측정평분급심기모양량변화,연구심리간예여환자초필정서급심기모양량지간적상관성.방법:장85례경의원환자초필정서평정량표진단위초필증적주원적절경후관심병환자수궤분위간예조45례여대조조40례,대간예조진행심리간예,대조조행상규호리.분별측정량조간예전후적초필정서평분급심기모양량병진행비교.결과:량조환자의원환자초필정서평정량표평분급심기모양량재심리간예후균교간예전유교명현적하강(P<0.01),단간예조환자교대조조환자재의원환자초필정서평정량표평분급심기모양량적하강경위명현(P<0.05).결론:대환유초필증적관심병환자재적겁치료원발병적동시,급여유효적심리간예,능현저강저환자적심기모양량,개선환자적초필정서.
Objective:To investigate the variance of myocardial oxygen consumption (MOC) of patients postmenopausal coron ary atherosclerotic heart disease patients combined with anxiety disorder before and after mental intervention, research the correlation between mental intervention and myocardial oxygen consumption.Methods:85 patients postmenopausal coron ary atherosclerotic heart disease patients combined with anxiety disorder (diagnosed by HAD) were randomly divided in to 45 patients were in intervention group and 40 patients were in control group. The intervention group was treated by mental intervention. The scores of HAD and MOC of patients in the two groups were determined before and after the experiment. Then use the SPSS 11.5 to analyse the correlation between mental intervention and myocardial oxygen consumption.Results: The scores of HAD and MOC of patients postmenopausal coron ary atherosclerotic heart disease patients combined with anxiety disorder were reduced through mental intervention .The difference of the scores of HAD and MOC in these patients before and after mental intervention was statistically significant. The variance of scores of HAD before and after mental intervention positively correlated with that of MOC.Conclusion: To give the effective mental intervention when treating the primary diseases of patients postmenopausal coron ary atherosclerotic heart disease patients combined with anxiety disorder could reduce myocardial oxygen consumption and improve patients' anxiety.