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目的探讨心理干预对冠心病患者康复的影响。方法将120名冠心病住院患者分为干预组和对照组各60例,对照组只给予临床常规药物治疗,干预组同时进行心理干预,运用自测健康评定量表和西雅图心绞痛调查量表分别于心理干预前及结束时对两组患者进行评定。结果两组患者在实施心理干预前SRHMS评分和SAQ评分差异无统计学意义(P>0.05)。实施心理干预后,干预组在自测健康的生理健康(t=2.772,P<0.01)、心理健康(t=7.779,P<0.01)、社会健康(t=6.403,P<0.01)3个维度和总分(t=7.035,P<0.01)上的干预前后差值及在心绞痛发作状态(t=4.015,P<0.01)、治疗满意度(t=8.774,P<0.01)和疾病认识程度(t=6.771,P<0.01)3个维度及西雅图总分(t=9.972,P<0.01)上的干预前后差值都高于对照组。干预组和对照组的临床疗效差别有统计学意义(χ2=16.536,P<0.01)。结论心理干预不仅能够提高冠心病患者自身健康水平和生活质量,而且能够提高冠心病患者的疗效,有效促进其临床康复。
Objective To investigate the effect of psychological intervention on the rehabilitation of patients with coronary heart disease. Methods A total of 120 hospitalized patients with coronary heart disease were divided into intervention group and control group, 60 cases in each group. The control group was given only conventional drug therapy. The intervention group also performed psychological intervention. The self-rated health assessment scale and Seattle angina questionnaire were used separately Two groups of patients were assessed before and at the end of psychological intervention. Results There was no significant difference in SRHMS scores and SAQ scores between the two groups before psychological intervention (P> 0.05). After psychological intervention, the intervention group had significant differences in the three dimensions of physical health (t = 2.772, P <0.01), mental health (t = 7.779, P <0.01) (T = 4.015, P <0.01), treatment satisfaction (t = 8.774, P <0.01) and disease awareness (t = t = 6.771, P <0.01). The differences between the three dimensions and the Seattle total score (t = 9.972, P <0.01) were higher than those in the control group. There was significant difference in clinical efficacy between the intervention group and the control group (χ2 = 16.536, P <0.01). Conclusion Psychological intervention can not only improve their own health and quality of life in patients with coronary heart disease, but also improve the curative effect of patients with coronary heart disease and effectively promote their clinical rehabilitation.