心理干预对老年冠心病介入治疗患者情绪障碍的影响

发布时间：2017-12-28 02:10

本文关键词：心理干预对老年冠心病介入治疗患者情绪障碍的影响　出处：《新疆医科大学》2006年硕士论文　论文类型：学位论文

【摘要】：目的：了解老年冠心病患者心脏介入(PCI)治疗前后的情绪障碍和心理干预效果。方法：收集2005年11月～2006年9月在我院住院年龄≥60岁的行PCI术的冠心病患者62例。冠心病诊断符合1979年WHO冠心病诊断标准。随机分为对照组和心理干预组，对所有入选患者均按冠心病常规治疗。对干预组患者在PCI手术前后给予综合心理治疗，包括社会和家庭的支持性心理治疗，个别心理治疗及患者间互相治疗。并进行两组间一般情况比较；手术前后两组临床表现的变化分析，以及干预组和对照组在手术前后不同时间点心率和血压变化比较；对所有入选病人焦虑、抑郁状况采用焦虑、抑郁自评量表进行了问卷调查。抑郁焦虑诊断均符合中国神经疾病分类方案与诊断标准。结果：干预组和对照组患者年龄、性别的构成比以及合并其他心血管疾病之间差异无统计学意义(P＞0.05)；干预组和对照组在术前失眠、胸闷、纳差等临床表现比较基本无差异，但经干预治疗后，干预组的上述临床明显少于对照组(P＜0.05)；术前两组心率及收缩压有上升趋势，但经心理干预治疗后干预组心率及收缩压上升幅度明显低于对照组(P＜0.01)；两组患者在干预前SAS和SDS的症状评分均无显著性差异(P＞0.05)，而心理干预后，干预组的情绪障碍(SAS 28.09±5.12，，SDS 26.35±4.91)较对照组(SAS 37.60±5.53，SDS 34.62±5.72)明显改善(P＜0.05)，而减分率显著增高(P＜0.01)。结论：综合心理干预可以有效地减轻老年冠心病患者接受PCI治疗时的焦虑抑郁障碍。
[Abstract]:Objective: to understand the effect of emotional disturbance and psychological intervention before and after the treatment of heart intervention (PCI) in elderly patients with coronary heart disease. Methods: 62 patients with coronary heart disease underwent PCI were collected from November 2005 to September 2006 in our hospital 60 years of age or older patients. The diagnosis of coronary heart disease conforms to the diagnostic criteria of WHO coronary heart disease (CAD) in 1979. The patients were randomly divided into the control group and the psychological intervention group, and all the selected patients were treated with the routine treatment of coronary heart disease. The patients in the intervention group received comprehensive psychotherapy before and after PCI, including social and family supportive psychotherapy, individual psychotherapy and mutual treatment between patients. The general situation and compared between the two groups; changes of clinical manifestations of the two groups before and after operation, and the intervention group and the control group at different time points rate and blood pressure changes before and after the operation; of all the patients with anxiety and depression with anxiety and depression self rating scale questionnaire. The diagnosis of depression and anxiety was in line with the classification scheme and diagnostic criteria of Chinese neuropathy. Results: the intervention group and the control group of patients age and sex ratio as well as the differences between other cardiovascular diseases with no statistical significance (P > 0.05); the intervention group and the control group in the preoperative insomnia, chest tightness, anorexia and other clinical manifestations is basically no difference, but after the intervention, the intervention group was less than the control group (P < 0.05); the two groups preoperative heart rate and systolic blood pressure increased, but the treatment of psychological intervention, the intervention group of heart rate and systolic blood pressure increased significantly lower than the control group (P < 0.01); there were no significant differences between the two groups of patients before intervention SAS and SDS symptom score (P > 0.05), and psychological intervention, the intervention group of mood disorders (SAS 28.09 + 5.12, 26.35 + 4.91 SDS) compared with the control group (SAS SDS 37.60 + 5.53, 34.62 + 5.72) significantly improved (P < 0.05), while the reduction rate increased significantly (P < 0.01). Conclusion: comprehensive psychological intervention can effectively reduce the anxiety and depressive disorder in elderly patients with coronary heart disease when they receive PCI treatment.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2006
【分类号】：R541.4;R395.5

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