心理干预对冠状动脉粥样硬化性心病患者服药.docVIP

心理干预对冠状动脉粥样硬化性心脏病患者服药 　　[摘要] 目的 探讨心理干预对冠状动脉粥样硬化性心脏病患者服药依从性及生活质量的影响。 方法 入选对象为2013年12月～2014年12月入住我院的64例冠心病患者，根据护理方法不同随机分为干预组与对照组，每组32例，两组均予常规治疗和护理。干预组在上述基础上着重实施心理护理干预，比较两组干预前后SAS、SDS评分变化情况及SF-36各项生活质量评分及两组出院后6个月随访的服药依从率。 结果 干预组与对照组干预后的SAS评分、SDS评分分别较干预前显著降低，且干预组显著低于对照组（P中国论文网 /6/viewhtm　　[关键词] 冠状动脉粥样硬化性心脏病；心理干预；服药依从性；生活质量 　　[中图分类号] R473.5； R395.1 [文献标识码] B [文章编号] 1673-9701（2015）26-0130-04 　　Effect of psychological intervention on the medication compliance and quality of life in patients with coronary heart disease 　　LI Yuzhen1 ZHAO Qifeng2 LI Jine1 XIE Jianying1 LI Lingjuan1 　　1.Department of the First Internal Medicine， Peoples Hospital of Yuhuan County in Zhejiang Province， Yuhuan 317600， China； 2.Department of Thoracic Surgery， the Second Hospital Affiliated to Wenzhou Medical University， Wenzhou 325000， China 　　[Abstract] Objective To investigate the effect of psychological intervention on medication compliance and quality of life in patients with coronary heart disease. Methods A total of 64 patients with coronary heart disease from December 2013 to December 2014 in our hospital were randomly divided into intervention group and control group according to different nursing methods， each group with 32 cases， two groups were given interventional therapy and nursing. The intervention group on basis of the above focused on the implementation of psychological nursing intervention， SAS， SDS score changes were compared before and after the intervention between the two groups， SF-36 quality of life scores were compared before and after intervention and discharged compliance rate were compared after follow-up 6 months. Results The SAS and SDS scores of the two groups were significantly lower respectively than those before intervention， and the intervention group was significantly lower than that of the control group（P 　　[Key words] Coronary atherosclerotic heart disease； Psychological intervention medication； Compliance； Quality of life 　　冠状动脉粥样硬化性心脏病是冠状动脉血管发生动脉