心血管康复医学杂志
心血管康複醫學雜誌
심혈관강복의학잡지
JOURNAL OF CARDIOVASCULAR REHABILITATION MEDICINE
2014年
2期
147-149
,共3页
心理疗法%风湿性心脏病%精神病状态评定量表
心理療法%風濕性心髒病%精神病狀態評定量錶
심리요법%풍습성심장병%정신병상태평정량표
Psychotherapy%Rheumatic heart disease%Psychiatric status rating scales
目的：探讨心理干预对风湿性心脏病（风心病）换瓣术后患者精神状态的影响。方法：60例风心病换瓣术后患者按数字表法被随机分为常规护理组和心理干预组各30例。心理干预组除常规护理干预外另进行心理干预。采用症状自评量表（SCL-90）分别于术前1d和术后1周对两组患者进行心理状态评价。结果：两组心理干预开始前 SCL-90评分组间比较差异无显著性（P＞0.05），手术1周后，与常规护理组比较，心理干预组 SCL-90量表中躯体化[（1.31±0.47）分比（0.55±0.68）分]、强迫症状[（2.11±0.35）分比（0.78±0.35）分]、人际关系敏感[（1.57±0.53）分比（1.22±0.46）分]、抑郁[（1.63±0.29）分比（1.00±0.41）分]、焦虑[（0.98±0.17）分比（0.76±0.13）分]、敌对[（1.11±0.31）分比（0.80±0.37）分]和恐怖[（1.39±0.26）分比（0.53±0.19）分]分值均显著下降（P＜0.01或P＜0.05）。结论：心理干预能够减轻患者的不良心理状态，提高生活质量。
目的：探討心理榦預對風濕性心髒病（風心病）換瓣術後患者精神狀態的影響。方法：60例風心病換瓣術後患者按數字錶法被隨機分為常規護理組和心理榦預組各30例。心理榦預組除常規護理榦預外另進行心理榦預。採用癥狀自評量錶（SCL-90）分彆于術前1d和術後1週對兩組患者進行心理狀態評價。結果：兩組心理榦預開始前 SCL-90評分組間比較差異無顯著性（P＞0.05），手術1週後，與常規護理組比較，心理榦預組 SCL-90量錶中軀體化[（1.31±0.47）分比（0.55±0.68）分]、彊迫癥狀[（2.11±0.35）分比（0.78±0.35）分]、人際關繫敏感[（1.57±0.53）分比（1.22±0.46）分]、抑鬱[（1.63±0.29）分比（1.00±0.41）分]、焦慮[（0.98±0.17）分比（0.76±0.13）分]、敵對[（1.11±0.31）分比（0.80±0.37）分]和恐怖[（1.39±0.26）分比（0.53±0.19）分]分值均顯著下降（P＜0.01或P＜0.05）。結論：心理榦預能夠減輕患者的不良心理狀態，提高生活質量。
목적：탐토심리간예대풍습성심장병（풍심병）환판술후환자정신상태적영향。방법：60례풍심병환판술후환자안수자표법피수궤분위상규호리조화심리간예조각30례。심리간예조제상규호리간예외령진행심리간예。채용증상자평량표（SCL-90）분별우술전1d화술후1주대량조환자진행심리상태평개。결과：량조심리간예개시전 SCL-90평분조간비교차이무현저성（P＞0.05），수술1주후，여상규호리조비교，심리간예조 SCL-90량표중구체화[（1.31±0.47）분비（0.55±0.68）분]、강박증상[（2.11±0.35）분비（0.78±0.35）분]、인제관계민감[（1.57±0.53）분비（1.22±0.46）분]、억욱[（1.63±0.29）분비（1.00±0.41）분]、초필[（0.98±0.17）분비（0.76±0.13）분]、활대[（1.11±0.31）분비（0.80±0.37）분]화공포[（1.39±0.26）분비（0.53±0.19）분]분치균현저하강（P＜0.01혹P＜0.05）。결론：심리간예능구감경환자적불양심리상태，제고생활질량。
Objective:To explore influence of psychological intervention on mental state in patients With rheumatic heart dis-ease (RHD)after valve replacement surgery.Methods:A total of 60 RHD patients after valve replacement surgery Were randomly and equally divided into routine nursing group and psychological intervention group according to number table,the latter received additional psychological intervention besides routine nursing intervention.Symptom checklist 90 (SCL-90) Was used to assess mental state of tWo groups 1 d before and one Week after surgery.Results:There Were no significant difference in SCL-90 scores betWeen tWo groups before psychological intervention (P>0.05).Compared With routine nursing group one Week after operation,there Were significant reduction in SCL-90 scores of somatization [(1.31±0.47) scores vs.(0.55±0.68)scores],obsessive-compulsive symptom [(2.11±0.35)scores vs.(0.78±0.35)scores],inter-personal relationship sensitivity [(1.57±0.53)scores vs.(1.22±0.46)scores],depression [(1.63±0.29)scores vs. (1.00±0.41)scores],anxiety [(0.98±0.17)scores vs.(0.76±0.13)scores],hostility [(1.11±0.31)scores vs.(0.80 ±0.37)scores]and phobia anxiety [(1.39±0.26)scores vs.(0.53±0.19)scores]in psychological intervention group,P<0.01 or P<0.05. Conclusion:Psychological intervention can alleviate the adverse psychological state and improve quali-ty of life in patients With rheumatic heart disease.
