渐进性肌肉放松训练对于心脏介入治疗冠心病患者抑郁焦虑症状的疗效研究-国际精神病学杂志-CSCIED科技核心评价数据库-手机版

渐进性肌肉放松训练对于心脏介入治疗冠心病患者抑郁焦虑症状的疗效研究

Observe the emotional disorder and progressive muscle relaxation training for CHD patients before andfter cardiac intervention therapy.

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刊名	国际精神病学杂志 Journal of International Psychiatry
年，卷(期)	2016, 43(1)
作者	梁成富*,郑文武,陈伯勋,林强,肖玉英,
作者单位	泸州市人民医院 ; 四川医科大学附属第一医院 ;
摘要	探讨心脏介入治疗前后冠心病患者的情绪障碍以及心理干预的效果。方法临床纳入接受 PTCA+支架植入术治疗的冠心病患者80例, 按照随机数字表法分为研究组与对照组。研究组患者于国手术期间进行渐进性肌肉放松训练, 对照组患者不进行渐进性肌肉放松训练。采用焦虑自评量表(Self-Rating Anxiety Scale, SAS)、却郁自评量表(Self-rating depression scale, SDS) 比较千预前后两组情绪变化情况,并对住院期间两组患者心率(HR)及收缩压(SBP)水平进行比较分析。结果治疗后, 研究组 SAS、 SDS评分分别为 (33. 26±3. 89)、 (32. 48±2. 94) , 对照组SAS、 SDS评分分别为(41.98±3.96)、 (42. 12±3.59) ,差异均有显著性(P<0.05) ;研究组术前1天、术中、术后当天、术后3天HR分别为(80.26±2.78) 次/分、(85.77±3.16) 次/分、 (76.61±2.03) 次/分、 (74.24±2.24) 次/分,对照组分别为 (84.86±3.12) 次/分、(93.81±3.30) 次/分、 (81.81±2.74) 次/分、 (75.83±3.29) 次/分,差异均有显著性(P< 0.05) ;研究组术前1天、术中、术后当天SBP分别为(123. 16±12.94mmHg)、(132. 14±11.25) mmHg、(115.26±10.66) mmHg,对照组分别为(129.34±14.69) mmHg、 (143.79±15.14) mm_ Hg、(126.25±11.61) mmHg,差异均有显著性(P<0.05)。结论实施PTCA+支架植入术的冠心病患者术前普遍存在焦虑、和1;郁等负面情绪, 而通过渐进性月几肉放松训练, 能够有效缓解患者的焦虑、却郁情绪。
Abstract	〇bjective To observe the emotional disorder and effect of mental intervention for CHD(coronaryhearL disease) paLients before and afLer cardiac inLervenLion therapy. Method80 CHD paLients were selected and they received PTCA and stent implanLation. The paLients were divided into study group and control group according to Lhe random number table method. Through SAS and SDS, the emotional changes before and after intervention was com- pared. HR and Sit:P for two groups were analyzed. Result After treatment, the score of SAS and SDS for study group was(36.26±3.89) and(32.48±2.94) while the score for contro1 group was(67.98±3.96) and(59. 12±3.59) (」P<0.05); beforeld of surgery, during surgery, in the day after operation andafter3d of surgery, HR for stud group was(80.26±2.78) times/min, (85.77±3. 16) times/min, (76.61±2.03) times/min and(74.24±2.24)times/min while HR for control group was(84. 86±3. 12) times/min, (93. 81±3. 30) times/min, (81. 81±2.74) times/min and(75. 83±3.29) times/min(P<0.05) ; beforeld of surgery, during surgery, in the dayafter opera- tion, SBP for study group was(123. 16±12.94 mmHg) , (132. 14±11.25) mmHg and(115.26±10.66) mmHg while SBP for contro1 group was(129.34±14.69) mmHg, (143.79±15. 14) mmHg and(126.25±11.61) mm_ Hg(P<0.05). Conclusion During PTCA and stent implantation, the CHD patients generally have the negative e- motions of anxiety and depression. The comprehensive menta1 intervention can efficiently relieve the patients anxiety and depression.
关键词	冠心病;介入术;焦虑;却郁;心理千预;效果
KeyWord	CHD; Intervention; Emotional Disorder; MentalIntervention; Effect
基金项目
页码	138-140

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梁成富*,郑文武,陈伯勋,林强,肖玉英. 渐进性肌肉放松训练对于心脏介入治疗冠心病患者抑郁焦虑症状的疗效研究 [J]. 国际精神病学杂志. 2016; 43; (1). 138 - 140.

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