摘要
目的探讨认知行为治疗对冠心病介入治疗(PCI)术后患者焦虑抑郁和生活质量的影响。方法选择2007年2月～2009年2月在驻马店市第一人民医院心内科接受PCI治疗的全部患者998人,术后1个月进行汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、对HAMA、HAMD评分分别大于14分和大于17分的患者92人,随机分为两组,每组46人进行干预,研究组在药物治疗的基础上给予规范的认知行为治疗,对照组仅应用抗焦虑、抗抑郁药物,分别在干预前和干预后1个月、3个月和6个月进行HAMA、HAMD、健康状况问卷(SF-36)、艾森克人格问卷(EPQ),最终完成干预的共86例。干预组44例,对照组42例。结果研究组与对照组6个月后SF-36(85.47±16.22vs68.23±10.76,t=5.77)、EPQ评分N因子(44.18±4.13vs53.58±3.08,t=11.90)、HAMA(10.41±3.41vs15.13±4.11,t=5.76)和HAMD(11.43±3.78vs17.89±4.58,t=7.10)评分比较均为P<0.01,差异均有显著性。结论认知行为治疗有助于减轻冠心病介入治疗术后(PCI)患者的焦虑抑郁水平,矫正不良行为,提高PCI患者的生活质量。
Obiective To explore the effects of cognitive-behavioral therapy on anxiety,depression and quality of life in the patients after PCI.Methods A total of 998 patients who received PCI from First People＇s Hospital of Zhumadian from February 2007 to February 2009 were assessed by HAMA and HAMD in one month after operation,in which 92 patients selected according to the scores of HAMA（〉14） and HAMD（〉17） were divided into two groups with 46 each group.The study group received regular cognitive-behavional therapy on the basis of drug treatment,the control group only received anti-anxiety and anti-depression drug.Before intervention and 1,3 and 6 month after intervention,HAMA,HAMD,SF-36.and EPQ were used.A total of 86 cases completed the intervention with 44 cases in the intervention group and 42 cases in the control group.Results After 6 months of intervention,the scores of the study group and the control group were respectively SF-36：85.47±16.22 vs 68.23±10.76,t=5.77;EPQ-N：44.18±4.13 vs 53.58±3.08,t=11.90）; HAMA：10.41±3.41 vs 15.13±4.11,t=5.76; HAMD：11.43±3.78 vs 17.89±4.58,t=7.10;the differences were significant（P〈0.01）.Conclution Cognitive-behavioral therapy helps relieve anxiety and depression of the patients after PCI,correct bad behavior,improve the PCI patients＇ quality of life.
出处
《中国健康心理学杂志》
2010年第12期1433-1435,共3页
China Journal of Health Psychology
关键词
冠心病介入治疗
焦虑
抑郁
认知行为治疗
生活质量
Intervene therapy of coronary heart disease
Anxiety
Depression
Cognitive-behavioral therapy
Quality of life
