CAJ | 학술논문

目的探讨心理护理干预措施改善冠状动脉内支架术患者焦虑和抑郁情绪的效果。方法将2011年10月～2013年5月在我院接受冠状动脉内支架术治疗的60例患者，随机分为对照组和研究组，各30例。对照组接受常规护理。研究组接受常规护理并强化心理护理。于手术前、手术后第7d、手术后第14d、手术后第21d ，分别采用Zung焦虑自评量表（SAS）、Zung抑郁自评量表（SDS）对焦虑、抑郁情绪进行评分。结果手术前、手术后第7d两组SAS评分、SDS评分比较无显著性差异（P＞0．05）。手术后第14d、手术后第21d两组SAS评分、SDS评分比较有显著性差异（P＜0．05）。结论心理护理干预可以显著改善冠状动脉内支架术患者的焦虑、抑郁情绪，从而使患者手术后保持一个良好的心态。
목적탐토심리호리간예조시개선관상동맥내지가술환자초필화억욱정서적효과。방법장2011년10월～2013년5월재아원접수관상동맥내지가술치료적60례환자，수궤분위대조조화연구조，각30례。대조조접수상규호리。연구조접수상규호리병강화심리호리。우수술전、수술후제7d、수술후제14d、수술후제21d ，분별채용Zung초필자평량표（SAS）、Zung억욱자평량표（SDS）대초필、억욱정서진행평분。결과수술전、수술후제7d량조SAS평분、SDS평분비교무현저성차이（P＞0．05）。수술후제14d、수술후제21d량조SAS평분、SDS평분비교유현저성차이（P＜0．05）。결론심리호리간예가이현저개선관상동맥내지가술환자적초필、억욱정서，종이사환자수술후보지일개량호적심태。
Objective To investigate the curative application of psychological care on anxiety and depression for patients with coronary artery stenting .Methods 60 patients underwent coronary artery stenting treatment were randomly divided in-to control group (30 cases) and research group (30cases) from October 2011 to May 2013 in our hospital .The patients in the control group received conventional nursing care while received conventional nursing combined with enhanced psychologi-cal nursing in the research group .Before surgery and 7 d ,14 d ,21 d after operation , to adopt Zung self rating anxiety scale (SAS) ,the Zung depression self rating scale(SDS)for all the patients ,and evaluated scores of their anxiety and depression .Results Before surgery and 7d after operation ,the differences of SAS scores and SDS score between patients in two groups had no statistical significance (P>0 .05) .14d and 21d after operation ,SAS scores and SDS scores of patients in control group were significantly higher than group (P<0 .05) . Conclusion To take enhanced psychological nursing intervention can significantly improve patient's anxiety and depression after coronary artery stenting ,and make patients keep a good state of mind after the operation .