CAJ | 학술논문

目的：研究植入永久心脏起搏器术后患者的焦虑与情绪反应及其进行心理教育和药物干预的效果。方法选取58例经静脉植入心脏起搏器的患者，并且其焦虑及抑郁指数≥50％；按照随机数表法分成干预组和对照组各29例。干预组在药物治疗基础上予以心理护理干预，对照组采用单纯药物治疗。结果治疗前对照组和干预组SAS、SDS评分比较，差异均无统计学意义（P＞0．05）。干预组治疗后较对照组的SAS、SDS评分降低，且差异均有统计学意义（P＜0．05）。结论对植入永久起搏器合并焦虑与抑郁的患者进行心理护理及药物干预，较单纯药物治疗的效果更为显著。
목적：연구식입영구심장기박기술후환자적초필여정서반응급기진행심리교육화약물간예적효과。방법선취58례경정맥식입심장기박기적환자，병차기초필급억욱지수≥50％；안조수궤수표법분성간예조화대조조각29례。간예조재약물치료기출상여이심리호리간예，대조조채용단순약물치료。결과치료전대조조화간예조SAS、SDS평분비교，차이균무통계학의의（P＞0．05）。간예조치료후교대조조적SAS、SDS평분강저，차차이균유통계학의의（P＜0．05）。결론대식입영구기박기합병초필여억욱적환자진행심리호리급약물간예，교단순약물치료적효과경위현저。
Objective Toinvestigatetheanxietyandemotionalresponseofpatientsafterper-manent pacemakers were implanted as well as to explore the corresponding effects of psychagogia and drugintervention.Methods Fifty-eightpatientsimplantedwithtransvenouspacemakerswereen-rolled in the study whose indices of anxiety and depression were all ≥50% and they were divided into intervention group and control group by random number table,with each group 29 cases.The intervention group was given intervention of psychological nursing besides drug treatments while the controlgroupwastreatedonlybymedication.Results Beforetreatment,thedifferencesofSASand SDS scores between intervention group and control group weren't statistically significant either(P>0.05).And yet after treatement,compared with the control group,SAS and SDS scores of interven-tion group decreased and the differences were both statistically significant(P<0.05).Conclusion Comparedwithpuredrugtreatment,itprovestobemoreeffectivetogivepsychologicalnursingcom-plicating drug intervention for patients with permanent pacemaker implanted who were complicated by anxiety and depression.