CAJ | 학술논문

　　目的：研究认知行为干预对冠心病患者焦虑抑郁情绪发生的影响。方法：将100例冠心病患者随机分为干预组和对照组，每组50例。干预组在常规护理的基础上加入认知行为干预，对照组进行心血管内科常规护理。用 SDS、SAS 量表对患者的焦虑和抑郁情绪进行评价。结果：干预组患者SAS 评分为20．50±1．75，对照组SAS评分为9．34±4．44，差异有统计学意义（t＝37．10，P＜0．001）；干预组患者SDS 评分为22．17±5．40，对照组SDS 评分为39．82±3．62，差异有统计学意义（t＝20．84，P＜0．001）；干预组焦虑和抑郁程度均较为对照组低（P＜0．05）。结论：对住院冠心病患者实施认知行为干预，可降低患者焦虑抑郁情绪程度，提高患者生活质量，改善患者预后。
　　목적：연구인지행위간예대관심병환자초필억욱정서발생적영향。방법：장100례관심병환자수궤분위간예조화대조조，매조50례。간예조재상규호리적기출상가입인지행위간예，대조조진행심혈관내과상규호리。용 SDS、SAS 량표대환자적초필화억욱정서진행평개。결과：간예조환자SAS 평분위20．50±1．75，대조조SAS평분위9．34±4．44，차이유통계학의의（t＝37．10，P＜0．001）；간예조환자SDS 평분위22．17±5．40，대조조SDS 평분위39．82±3．62，차이유통계학의의（t＝20．84，P＜0．001）；간예조초필화억욱정도균교위대조조저（P＜0．05）。결론：대주원관심병환자실시인지행위간예，가강저환자초필억욱정서정도，제고환자생활질량，개선환자예후。
Objective :To study the effect of cognitive -behavioral therapy on the anxiety or depression with coronary heart disease .Mathods :The 100 cases patients of cardiaopath were randomized to control group or interference group ,The Control group Was received routine cardiovascular care ;the interference group Was received routine care plus cognitive -behavioral intervention .The acromegalic anxious and depression was evaluated by the rating scales of SDS and SAS .Results:The level of anxiety or depression Was compared between the two groups ,the number of anxiety or depression patients Significant reduction ,the degree of anxiety or depression Significantly decreased .Conclusion:It will Significantly decrease the patients’s anxi-ety or depression degree ,improve the quality of life of the patients ,and improve the prognosis of patients by cognitive -behavioral therapy on coronary heart disease .