CAJ | 학술논문

目的探讨行为干预对住院冠心病患者心理健康和生活质量的影响.方法符合诊断标准的80例住院冠心病患者,依就诊顺序分为行为干预组(n=40)和药物治疔组(n=40)2组.于干预前和干预后1个月、3个月和6个月,分别对患者进行健康状况问卷(SF-36)、症状白评量表(SCL-90)、艾森克人格问卷(EPQ)、汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)测评.结果干预组与药物组6月后SF-36评分比较[(84.7±16.2)分,(68.3±10.6)分,P<0.01];治疗6月后SCL-90评分比较[(83.5±4.2)分,(148.6±3.2)分,P<0.01];EPQ评分N因子比较[(43.8±4.2)分,(52.8±3.1)分,P<0.01];HAMA评分比较[(10.4±3.4)分,(15.1±5.1)分,P<0.01];HAMD评分比较[(11.4±3.8)分,(17.9±4.6)分,P<0.01],均差异有显著性.结论行为干预有助于减轻冠心病患者的抑郁与焦虑水平,提高冠心病的生活质量.
목적 탐토행위간예대주원관심병환자심리건강화생활질량적영향.방법 부합진단표준적80례주원관심병환자,의취진순서분위행위간예조(n=40)화약물치정조(n=40)2조.우간예전화간예후1개월、3개월화6개월,분별대환자진행건강상황문권(SF-36)、증상백평량표(SCL-90)、애삼극인격문권(EPQ)、한밀돈초필량표(HAMA)、한밀돈억욱량표(HAMD)측평.결과 간예조여약물조6월후SF-36평분비교[(84.7±16.2)분,(68.3±10.6)분,P<0.01];치료6월후SCL-90평분비교[(83.5±4.2)분,(148.6±3.2)분,P<0.01];EPQ평분N인자비교[(43.8±4.2)분,(52.8±3.1)분,P<0.01];HAMA평분비교[(10.4±3.4)분,(15.1±5.1)분,P<0.01];HAMD평분비교[(11.4±3.8)분,(17.9±4.6)분,P<0.01],균차이유현저성.결론 행위간예유조우감경관심병환자적억욱여초필수평,제고관심병적생활질량.
Objective To explore the effects of behavioral intervention on mental heath and quality of life of inpatients with coronary heart disease. Methods Eighty cases with coronary heart disease were randomly divid-ed into intervention group(n=40) and the drug treatment group(n=40). SF-36,SCL-90,EPQ,HAMA,HAMD were applied to assess the mental health state and quality of life. Results After 6-months, the score of SF-36,SCL-90,EPQ,HAMA, HAMD,and N score of EPQ in intervention group were more significantly proved than the drug treatment group SF-36:(84.7±16.2)vs(68.3±10.6); P <0.01; SCL-90:(83.5±4.2)vs(148.6±3.2)], P<0.05;EPQ-N:(43.8±4.2)vs(52.8±3.1), P<0.01;HAMA:(10.4±3.4)vs(15.1±5.1), P <0.01; HAMD: (11.4±3.8) vs (17.9±4.6), P< 0.01). Conclustion Behavioral intervention effectively im-proves mental state and quality of life of patients with coronary heart disease.