CAJ | 학술논문

目的观察五志相胜心理干预对冠心病患者的影响。方法将109例住院的冠心病患者按住院时间顺序随机分为对照组53例、实验组56例。对照组给予常规治疗;实验组在常规治疗基础上，针对患者“怒、思、忧”情绪特点施以五志相胜心理干预治疗。采用焦虑自评量表(SAS)和抑郁自评量表(SDS)对患者入院后1d、出院前1d进行记录分析，统计SAS、SDS评分。同时比较两组的心电图变化情况。结果与对照组比较，实验组出院前1d的SAS、SDS评分分别为(41.9±7.4)分、(38.6±8.4)分，差异均有统计学意义（P均＜0.01）。干预后，对照组、实验组的心电图总有效率分别为64.15％、92.85％,差异有统计学意义(P＜0.01)。结论五志相胜心理干预可及时消除负性情绪，有助于冠心病患者的康复。
목적 관찰오지상성심리간예대관심병환자적영향。방법 장109례주원적관심병환자안주원시간순서수궤분위대조조53례、실험조56례。대조조급여상규치료;실험조재상규치료기출상，침대환자“노、사、우”정서특점시이오지상성심리간예치료。채용초필자평량표(SAS)화억욱자평량표(SDS)대환자입원후1d、출원전1d진행기록분석，통계SAS、SDS평분。동시비교량조적심전도변화정황。결과 여대조조비교，실험조출원전1d적SAS、SDS평분분별위(41.9±7.4)분、(38.6±8.4)분，차이균유통계학의의（P균＜0.01）。간예후，대조조、실험조적심전도총유효솔분별위64.15％、92.85％,차이유통계학의의(P＜0.01)。결론 오지상성심리간예가급시소제부성정서，유조우관심병환자적강복。
Objective To observe the impact of the five-emotion restrictive therapy on coronary heart disease. Methods 109 hospitalized patients with coronary heart disease were randomly divided into a experimental of 56 patients and a control group of 53 patients according to length of stay. The control group was treated with the conventional therapy; the experimental group was imposed five-emotion restrictive psychological intervention on the basis of conventional therapy. The investigation was done using self-rating anxiety scale(SAS) and self-rating depression scale(SDS) on 1 day after admission and ld before discharge respectively. SAS and SDS scores were surveyed. At the same time Holter monitoring and normal ECG test were compared. Results Compared with control group, the experimental group 1 d before discharge of the SAS and SDS scores were (41.9±7.4) and (38.6±8.4), and the difference was statistically significant (P＜0.01) . The total effective rate of Holter monitoring and normal ECG was 64.15％ and 92.85％ in the control and experimental group, and the difference was significant (P＜0.01) . Conclusion The pathological seven emotions have a certain affection on the incidence of coronary heart disease, treatment and prognosis of the course. Five-emotion restrictive psychological intervention can adjust timely psychological state of patients, eliminate negative emotions, and significantly help the incidence, treatment and prognosis of the disease.