CAJ | 학술논문

目的：探讨阿普唑仑联合心理护理行为干预对急性冠脉综合征患者不良心理反应的影响。方法将100例确诊为急性冠脉综合征患者随机分为对照组及干预组，每组50例。对照组给予常规治疗，干预组在常规治疗的基础上口服阿普唑仑，并辅以心理行为干预等措施。比较2组的基线指标及 SCL －90评分。结果通过综合的心理行为干预，急性冠脉综合征患者恐惧、焦虑、抑郁等负性情绪有明显的减轻，差异有统计学意义（P ＜0．05）。但强迫症状、偏执、阳性项目数、阳性症状均分等项目评分差异无统计学意义（P ＞0．05）。结论对急性冠脉综合征伴不良心理反应的患者进行综合的心理行为干预，能明显减轻患者负性情绪，促进病情的恢复。
목적：탐토아보서륜연합심리호리행위간예대급성관맥종합정환자불양심리반응적영향。방법장100례학진위급성관맥종합정환자수궤분위대조조급간예조，매조50례。대조조급여상규치료，간예조재상규치료적기출상구복아보서륜，병보이심리행위간예등조시。비교2조적기선지표급 SCL －90평분。결과통과종합적심리행위간예，급성관맥종합정환자공구、초필、억욱등부성정서유명현적감경，차이유통계학의의（P ＜0．05）。단강박증상、편집、양성항목수、양성증상균분등항목평분차이무통계학의의（P ＞0．05）。결론대급성관맥종합정반불양심리반응적환자진행종합적심리행위간예，능명현감경환자부성정서，촉진병정적회복。
Objective To discuss the effects of alprazolam combining with psychological behavior intervention on the bad psychological reaction of patients with acute coronary syndrome.Methods 100 cases of patients with acute coronary syndrome were divided into the control group and the intervention group.Either group had 50 cases.Patients of the control group were given conventional treatment,while patients of the interven-tion group were given alprazolam and psychological behavior intervention on the bases of conventional treatment.Compare the SCL -90 score of patients in two group.Results The negative emotions including fear,anxiety,depression and so on had significantly reduced in intervention group compared with the control group,wile the score of some other points (force,paranoid symptoms,positive number,positive symptom)had no obvious change,which difference were statistically significant(P <0.05).Conclusion Aprazolam combining with psychological behavior inter-vention can significantly reduce the negative emotions and help to improve rehabilitation for patients with acute coronary syndrome.