冠心病介入治疗患者情绪障碍及心理干预研究[

Clinical effect of psychological intervention in the patients’ emotional disorder after PCI.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(4)
作者
作者单位

泸州市人民医院 ;
泸州市人民医院心血管内科 ;
泸州市人民医院 门诊部 ;
西南医科大学附属第一医院心血管内科 ;

摘要
【摘要】 研究冠心病介入治疗患者采用心理干预对术后情绪障碍的影响。方法 临床纳入94例我院2014年2月至2016年2月期间行经皮冠状动脉介入治疗(PCI)的冠心病患者作为研究对象,按入院顺序分为两组各47例。其中47例患者术后采用常规药物治疗作为对照组,另47例患者在上述基础上进行心理干预作为观察组。观察两组患者术后心理状态、生命体征以及并发症情况。结果 治疗前两组患者SAS、SDS无差异,P>0.05;治疗后观察组SAS、SDS评分均低于对照组,P>0.05。治疗前两组患者HR、SBP水平无差异,P>0.05;治疗3d后观察组HR、SBP水平明显低于对照组,P<0.05。观察组、对照组并发症发生率分别为4.26%、17.02%,观察组明显较低,P<0.05。结论 冠心病患者介入治疗后给予心理干预可明显提高患者心理状态,降低术后并发症发生率,提高安全性,值得临床应用及推广。
Abstract
[Abstract] Objective: To study the clinical effect of psychological intervention in the patients’ emotional disorder after PCI (percutaneous coronary intervention). Method: 94 patients of adopting the PCI from February 2014 to February 2016 in our hospital were selected. The subjects were divided into two groups according to the registration number, 47 cases each group. The control group adopted the conventional drug therapy; on the basis, the observation group also took the psychological intervention. The postoperative psychological state, vital signs and complications for two groups were observed. Result: Before treatment, the SAS and SDS points for two groups was not significantly different (P>0.05);after treatment, the SAS and SDS points for observation group were lower than control group (P>0.05); before treatment, the HR and SBP index for two groups were not significantly different (P>0.05); after 3d of treatment, the HR and SBP index for observation group were significantly lower than control group (P<0.05); the incidence rate of complications for observation group (4.26%) was significantly lower than control group (17.02%) (P<0.05).Conclusion: After PCI, the psychological intervention can greatly improve the patient’s mental sate, reduce the incidence rate of complications and enhance the clinical safety. It is worthy of clinical application and promotion.
关键词
【关键词】 冠心病;情绪;心理干预;生命体征;介入治疗
KeyWord
[Keywords] coronary heart disease; emotion;psychological intervention; vital signs; intervention therapy
基金项目
页码 762-764
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肖玉英,胡慧,梁成富,林霞,钱婧,范忠才*. 冠心病介入治疗患者情绪障碍及心理干预研究[ [J]. 国际精神病学杂志. 2017; 44; (4). 762 - 764.

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