CAJ | 학술논문

目的：探讨使用心理与行为问题评估指导心血管神经症治疗的效果。方法将57例心血管神经症患者随机分为2组，实验组29例，对照组28例。于治疗前和治疗第4、8、12周末时，采用90项症状清单（SCL-90）、抑郁自评量表（SDS）、焦虑自评量表(SAS)3个量表对患者进行心理与行为问题评估。实验组根据测量结果指导用药时机、选择心理干预方式。对照组按常规心血管药物进行诊治。治疗3个月后，收集所有患者有关治疗效果、疗程、量表分数。结果治疗8周后，实验组的抑郁和焦虑程度均比对照组明显减轻，差异有统计学意义（P<0.05）；治疗12周后，实验组治疗效果明显比对照组提高，差异有统计学意义（P＜0.05）。结论使用心理与行为问题评估指导心血管神经症治疗，优于一直以来按常规心血管药物治疗的效果。
목적：탐토사용심리여행위문제평고지도심혈관신경증치료적효과。방법장57례심혈관신경증환자수궤분위2조，실험조29례，대조조28례。우치료전화치료제4、8、12주말시，채용90항증상청단（SCL-90）、억욱자평량표（SDS）、초필자평량표(SAS)3개량표대환자진행심리여행위문제평고。실험조근거측량결과지도용약시궤、선택심리간예방식。대조조안상규심혈관약물진행진치。치료3개월후，수집소유환자유관치료효과、료정、량표분수。결과치료8주후，실험조적억욱화초필정도균비대조조명현감경，차이유통계학의의（P<0.05）；치료12주후，실험조치료효과명현비대조조제고，차이유통계학의의（P＜0.05）。결론사용심리여행위문제평고지도심혈관신경증치료，우우일직이래안상규심혈관약물치료적효과。
Objective To explore the curative effect of using psychological and behavioral assessment in the treatment of cardiovascular neurosis. Methods 57 patients with cardiovascular neurosis were randomly divided into two groups:experimental group 29 cases,28 cases in the control group. Before treatment and at the end of the 4 th, 8 th,12 th week of treatment , evaluate the psychological and behavioral problems for patients using symptom checklist 90 (SCL-90), self rating Depression Scale (SDS), self rating Anxiety Scale (SAS) . According to the measured results guiding the medication time and choosing the way of psychological intervention for the patients in the experimental group, the patients in the control group were received the routine cardiovascular treatment . After three months of treatment, all the treatment effect , treatment course and scale scores were collected for the patients. Results After 8 weeks of treatment, the anxiety-depression emotion of patients in the experimental group were significantly reduced than in the control group(P<0.05);After 12 weeks of treatment, treatment effect of experimental group was significantly higher than that in control group(P<0.05). Conclusion The clinical efficacy of using psychological and behavioral assessment in the treatment of cardiovascular neurosis is better than the routine cardiovascular treatment.