冠心病患者介入治疗后伴发焦虑抑郁的临床特点及其干预研究现状.docVIP

精品论文 参考文献 冠心病患者介入治疗后伴发焦虑抑郁的临床特点及其干预研究现状 于永志1 颜萍2 刘飘1 田中玲3 谢萍4（通讯作者） 　　（1甘肃中医药大学 甘肃 兰州 730000） 　　（2山东省郯城县第一人民医院 山东 临沂 276100） 　　（3山东省郯城县马头镇中心卫生院 山东 临沂 276126） 　　（4甘肃省人民医院心内1科 甘肃 兰州 730000） 　　【摘要】 目前经皮冠状动脉介入治疗已经成为冠心病治疗的重要手段,但介入治疗后常引起患者强烈的心理、生理反应, 其中焦虑、抑郁是最常见的应激反应许多研究已证明，焦虑是一种持续性精神紧张或发作性惊恐状态，而抑郁是一组以情感持续低落为基本特征的状态，探讨综合心理干预、药物联合心理干预、循证护理干预、认知行为干预等对冠心病患者介入治疗后伴发焦虑、抑郁的治疗效果。 　　【关键词】 冠心病；介入治疗；焦虑抑郁；临床特点；干预 　　【中图分类号】R541.4 【文献标识码】A 【文章编号】2095-1752（2016）08-0057-02 　　After interventional therapy of coronary heart disease patients with anxiety depression intervention study for the clinical characteristics and the status quo Yu Yongzhi, Liu Piao. University of Chinese Medicine in Gansu, Gansu Province, Lanzhou 730000, China; Yan Ping. The First Peoples Hospital of Tancheng County, Shandong Province, Linyi, 276100, China; Tian Zhongling. Matou Central Hospitals of , Tancheng County, Shandong Province, Linyi 276126, China; Xie Ping (corresponding author). The Peoples Hospita of Gansu Province, Gansu Province, Lanzhou 730000, China 　　【Abstract】The percutaneous coronary intervention has become an important means of coronary heart disease treatment, but often cause patients after intervention treatment strong psychological, physiological reaction, including anxiety, depression is the most common form of stress reaction. Many studies have shown that anxiety is a kind of persistent mental stress. Or paroxysmal state of panic and depression is emotional continued low basic characteristics. Comprehensive psychological intervention, drug combined psychological intervention, evidence-based nursing interventions, such as cognitive behavioral intervention in patients with coronary heart disease (CHD) after interventional treatment the curative effect of comorbid anxiety and depression. 　　【Key words】Coronary heart disease; Interventional therapy; Anxiety depression; Clinical characteristics; Intervention 　　1.焦虑和抑郁 　　1.1 定义和临床特点 　　焦虑是一种常见的心理障