CAJ | 학술논문

目的：研究冠心病再次PCI术患者的心理状况及心理护理干预对手术成功率、并发症和生命质量的影响。方法：将80例冠心病再次PCI术患者随机分为干预组和对照组各40例，两组均接受常规治疗和护理，干预组同时接受专业心理护理干预，采用抑郁自评量表（ SDS）、焦虑自评量表（ SAS）、世界卫生组织生存质量简表（ WHO－QOL－BREF）、社会支持量表（ SSQ）和临床资料调查表等于治疗前、治疗后3个月进行评估。结果：干预组患者的手术成功率与对照组没有明显差异，干预组患者的并发症发生率明显低于对照组（χ2＝7．168，P＜0．01）。干预组患者的焦虑、抑郁情绪明显低于对照组（t＝10．071，2．744；P＜0．01）；干预组患者生命质量得分显著高于对照组（t＝11．961，13．310，16．501，16．074；P＜0．01）。结论：心理护理干预改善冠心病再次PCI术患者的抑郁和焦虑症状，降低冠心病PCI术患者的并发症、改善其生命质量。
목적：연구관심병재차PCI술환자적심리상황급심리호리간예대수술성공솔、병발증화생명질량적영향。방법：장80례관심병재차PCI술환자수궤분위간예조화대조조각40례，량조균접수상규치료화호리，간예조동시접수전업심리호리간예，채용억욱자평량표（ SDS）、초필자평량표（ SAS）、세계위생조직생존질량간표（ WHO－QOL－BREF）、사회지지량표（ SSQ）화림상자료조사표등우치료전、치료후3개월진행평고。결과：간예조환자적수술성공솔여대조조몰유명현차이，간예조환자적병발증발생솔명현저우대조조（χ2＝7．168，P＜0．01）。간예조환자적초필、억욱정서명현저우대조조（t＝10．071，2．744；P＜0．01）；간예조환자생명질량득분현저고우대조조（t＝11．961，13．310，16．501，16．074；P＜0．01）。결론：심리호리간예개선관심병재차PCI술환자적억욱화초필증상，강저관심병PCI술환자적병발증、개선기생명질량。
Objective:To evaluate the effects of mental nursing intervention on the successful rate , complications and quality of life of the CHD patients with second PCI .Methods:80 cases were randomly divided into observation group ( n=40 ) and control group ( n=40 ) .Both groups were received standard therapy and nursing care after stroke and patients of observation group were given mental nursing inter -vention.SDS,SAS,WHOQOL -BREF SSQ,NEO-FFI-R were used to evaluate patients before therapy and after 3months of surgery.Results:There was no significant difference in successful rate of PCI be-tween two groups;The complication of observation group was significantly lower than control group (χ2 =7.168,P<0.01);The scores of SDS and SAS were significantly lower in the observation group ((t=10.071,2.744;P<0.01),while the scores of WHOQOL -BREF were significantly higher than those in observation group(t=11.961,13.310,16.501,16.074;P<0.01).Conclusion:Mental nursing inter-vention on the CHD Patients with PCI can improve the symptoms of nervous depression anxious , reduce the complications and improve patients'quality of life .