CAJ | 학술논문

目的：探讨认知行为干预对PCI术后患者生活质量的影响。方法按照随机数字表法将80例PCI术后患者随机分为干预组与对照组，每组40例。对照组实施PCI术后常规护理方法。干预组PCI术后患者在采取同样护理方法的前提下，结合认知行为干预进行护理。对两组患者护理干预前后的心理状况及生活质量进行观察，对比两组患者再次入院率及心血管恶性事件发生情况。结果干预前干预组和对照组生活质量评分分别为（118．2±18．5），（111．4±17．1）分，差异无统计学意义（t＝1．71， P＞0．05）；干预后6个月，干预组生活质量评分为（131．2±18．3）分，优于对照组的（118．3±11．2）分，差异有统计学意义（t＝3．80，P＜0．05）；干预后1年，干预组生活质量评分为（158．2±14．5）分，优于对照组的（121．7±10．3）分，差异有统计学意义（t＝12．98，P＜0．05）。两组冠心病患者出院后回访1年心血管事件比较，干预组患者冠状动脉再狭窄2例（5．0％）、再次入院6例（15．0％），对照组分别为8例（12．5％），14例（35．0％），干预组优于对照组，差异有统计学意义（χ2值分别为4．10，4．27；P＜0．05）。结论在采用常规护理的同时给予PCI术后患者认知行为干预能有效地提高PCI术后患者的生活质量。
목적：탐토인지행위간예대PCI술후환자생활질량적영향。방법안조수궤수자표법장80례PCI술후환자수궤분위간예조여대조조，매조40례。대조조실시PCI술후상규호리방법。간예조PCI술후환자재채취동양호리방법적전제하，결합인지행위간예진행호리。대량조환자호리간예전후적심리상황급생활질량진행관찰，대비량조환자재차입원솔급심혈관악성사건발생정황。결과간예전간예조화대조조생활질량평분분별위（118．2±18．5），（111．4±17．1）분，차이무통계학의의（t＝1．71， P＞0．05）；간예후6개월，간예조생활질량평분위（131．2±18．3）분，우우대조조적（118．3±11．2）분，차이유통계학의의（t＝3．80，P＜0．05）；간예후1년，간예조생활질량평분위（158．2±14．5）분，우우대조조적（121．7±10．3）분，차이유통계학의의（t＝12．98，P＜0．05）。량조관심병환자출원후회방1년심혈관사건비교，간예조환자관상동맥재협착2례（5．0％）、재차입원6례（15．0％），대조조분별위8례（12．5％），14례（35．0％），간예조우우대조조，차이유통계학의의（χ2치분별위4．10，4．27；P＜0．05）。결론재채용상규호리적동시급여PCI술후환자인지행위간예능유효지제고PCI술후환자적생활질량。
Objective To explore the clinical effects of cognitive behavioral therapy on the quality of life in patients after percutaneous coronary intervention ( PCI ) .Methods Eighty patients after PCI treatment were randomly divided into the experimental group and control group .The patients in the control group received cardiology conventional nursing , while the patients in the experimental group received cognitive behavioral therapy .The psychological status , quality of life ( QOL) , readmission rate and the major adverse cardiovascular events ( MACE) of the two groups were observed and compared .Results The score of QOL of the experimental group and the control group were (118.2 ±18.5) and (111.4 ±17.1), and there was no significant difference (t=1.71, P >0.05).After six month of intervention, the score of QOL of the experimental group was (131.2 ±18.3), which was significantly higher than (118.3 ±11.2) of the control group ( t=3.80, P>0.05).After one year of intervention , the score of QOL of the experimental group was (158.2 ±14.5), which was significantly higher than (121.7 ±10.3) of the control group (t=12.98, P>0.05).In the experimental group, 2 patients (5.0%) had re-stenosis in coronary artery;6 patients (15.0%) readmitted to the hospital. Those in the control were 8 patients (12.5%), 14 patients (35.0%), respectively.There were significant differences in each of these four events between the two groups (χ2 =4.10, 4.27, respectively;P<0.05). Conclusions The cognitive behavioral therapy can effectively improve the QOL in patients with PCI .