中国医药
中國醫藥
중국의약
CHINA MEDICINE
2011年
6期
646-647
,共2页
冠状动脉疾病%心理干预%满意度
冠狀動脈疾病%心理榦預%滿意度
관상동맥질병%심리간예%만의도
Coronary disease%Psychological intervention%Satisfaction
目的 评价冠状动脉粥样硬化性心脏病(冠心病)患者在常规治疗和护理基础上联用心理干预措施后的效果.方法 将90例冠心病患者完全随机分为对照组(45例)和观察组(45例),对照组采用常规治疗和护理,观察组在此基础上联用心理干预措施.对2组患者的焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、心功能及满意度评分进行比较.结果 治疗后观察组SAS评分为(22.6±7.5)分、SDS评分为(27.4±8.4)分,明显低于对照组的(42.3±9.4)分、(46.2±9.7)分,差异均有统计学意义(均P<0.01).治疗后观察组左心室射血分数为(49.6±3.5)%、左心室短轴缩短率为(27.4±1.9)%,明显高于对照组的(44.3±2.6)%、(21.2±2.1)%,差异均有统计学意义(均P<0.01).观察组总满意率为77.8%(35例),明显高于对照组的37.8%(17例)(X2=14.757,P<0.01).结论 冠心病患者治疗过程中联用心理干预措施无论是对心理健康状况的提高,还是对心功能和满意度的改善均具有重要意义,而且该方法简单易行、费用极低,无任何的不良反应,建议临床进一步推广.
目的 評價冠狀動脈粥樣硬化性心髒病(冠心病)患者在常規治療和護理基礎上聯用心理榦預措施後的效果.方法 將90例冠心病患者完全隨機分為對照組(45例)和觀察組(45例),對照組採用常規治療和護理,觀察組在此基礎上聯用心理榦預措施.對2組患者的焦慮自評量錶(SAS)評分、抑鬱自評量錶(SDS)評分、心功能及滿意度評分進行比較.結果 治療後觀察組SAS評分為(22.6±7.5)分、SDS評分為(27.4±8.4)分,明顯低于對照組的(42.3±9.4)分、(46.2±9.7)分,差異均有統計學意義(均P<0.01).治療後觀察組左心室射血分數為(49.6±3.5)%、左心室短軸縮短率為(27.4±1.9)%,明顯高于對照組的(44.3±2.6)%、(21.2±2.1)%,差異均有統計學意義(均P<0.01).觀察組總滿意率為77.8%(35例),明顯高于對照組的37.8%(17例)(X2=14.757,P<0.01).結論 冠心病患者治療過程中聯用心理榦預措施無論是對心理健康狀況的提高,還是對心功能和滿意度的改善均具有重要意義,而且該方法簡單易行、費用極低,無任何的不良反應,建議臨床進一步推廣.
목적 평개관상동맥죽양경화성심장병(관심병)환자재상규치료화호리기출상련용심리간예조시후적효과.방법 장90례관심병환자완전수궤분위대조조(45례)화관찰조(45례),대조조채용상규치료화호리,관찰조재차기출상련용심리간예조시.대2조환자적초필자평량표(SAS)평분、억욱자평량표(SDS)평분、심공능급만의도평분진행비교.결과 치료후관찰조SAS평분위(22.6±7.5)분、SDS평분위(27.4±8.4)분,명현저우대조조적(42.3±9.4)분、(46.2±9.7)분,차이균유통계학의의(균P<0.01).치료후관찰조좌심실사혈분수위(49.6±3.5)%、좌심실단축축단솔위(27.4±1.9)%,명현고우대조조적(44.3±2.6)%、(21.2±2.1)%,차이균유통계학의의(균P<0.01).관찰조총만의솔위77.8%(35례),명현고우대조조적37.8%(17례)(X2=14.757,P<0.01).결론 관심병환자치료과정중련용심리간예조시무론시대심리건강상황적제고,환시대심공능화만의도적개선균구유중요의의,이차해방법간단역행、비용겁저,무임하적불량반응,건의림상진일보추엄.
Objective To evaluate the effects of the coronary heart disease patients treated with psychological intervention. Methods Ninety cases of the coronary heart diseas were randomly divided into observation group and control group. Control group was treated with conventional care and the observation group was treated with psychological intervention. Self-rating anxiety scal(SAS) , self-rating depression scale(SDS) , cardiac function and the Satisfaction rate were compared for these two groups. Results After treatment, SAS and SDS of observation group [(22.6 ±7.5) , (27.4 ± 8. 4) scores] were significantly lower than those of control group [(42.3 ±9.4) , (46. 2 ± 9.7)scores](P <0. 01). After treatment, left ventricular ejection fraction and fraction shortening of observation group[(49.6±3.5)% ,(27.4 ±1.9)%] were significantly higher than those of control group [(44. 3 ±2.6)% , (21.2±2.1)%](P<0.01). The overall satisfaction rate of observation group(77.8%, 35 cases)was significantly higher than that of control group ( 37. 8% , 17 cases) (X2 = 14. 7571, P < 0. 01). Conclusions Psychological interventions are important on the improvement of mental health, cardiac function and life satisfaction. It's simple, low cost, without any adverse reaction and worthy of further promotion in clinic.
