Journal of International Psychiatry

[Abstract] Objective To investigate the influence psychological intervention on the postoperative mental condition and quality of life in patients with rheumatic heart disease (RHD) after cardiac valve replacement (CVR).Methods A total of 60 patients with RHD after CVR were randomly divided into observation group and control group,30 cases in each group.The control group received routine nursing, the observation group received psychological intervention on the basis of the control group. The mental condition was assessed by Symptom Checklist 90 (SCL-90),the quality of life was assessed by the Simple Life Quality of Life Scale (SF-36),the nursing satisfaction and follow-up results between the two groups were compared. Results The nursing satisfaction, regular review rate and medication compliance rate of the observation group were 96.67%, 90.00% and 93.33%,significantly higher than 83.33%, 70.00%, 76.67% in the control group (P<0.05);The complication rate of anticoagulant therapy and re-hospitalization rate in the observation group were 6.67% and 3.33%, significantly lower than 20.00% and 13.33% in the control group (P<0.05);After nursing,the scores of SCL-90 in the observation group were significantly lower than those in the control group,and the scores of SF-36 were significantly higher than those of the control group (P<0.05). Conclusion Psychological intervention can significantly improve the treatment compliance of RHD patients after CVR, reduce complication rate and re-hospitalization rate, improve the postoperative mental condition and quality of life, and provide high-quality and satisfactory nursing service.

[Key words] Rheumatic heart disease;Cardiac valve replacement; Psychological intervention; Mental condition; Quality of life