整合疗法对冠脉介入治疗患者焦虑状态的影响
2015-12-02任毅刘丽
任毅 刘丽
[摘要] 目的 探讨整合疗法对冠脉介入治疗患者焦虑状态的影响。 方法 按照纳入和排除标准选取2013年3月~2015年3月在我院接受冠脉介入治疗的92例患者,将其分为观察组与对照组,每组46例。所有患者均接受冠心病常规药物和氟哌噻吨美利曲辛片(黛力新)治疗,观察组在常规药物治疗的基础上给予整合疗法进行治疗,3个月后观察HAMA量表得分和胸部不适症状的改善情况,比较两组干预效果。 结果 治疗后,两组的HAMA评分均低于治疗前,观察组下降更明显(P<0.01),焦虑状态和胸部不适症状的总改善率明显优于对照组(P<0.05)。 结论 应用整合疗法能够改善患者的焦虑状态,有效减轻胸痛、胸闷症状,提高患者的生活质量。
[关键词] 冠心病;冠状动脉介入术;焦虑;干预
[中图分类号] R473.5 [文献标识码] B [文章编号] 1673-9701(2015)29-0073-03
Effect of integration therapy on the anxious state of patients received percutaneous coronary intervention
REN Yi1 LIU Li2
1.Department of Cardiology,the Third People's Hospital of Liaoyang City in Liaoning Province,Liaoyang 111000,China; 2.Basic Nursing Teaching and Research Section,Liaoyang Traditional Chinese Medicine School, Liaoyang 111000,China
[Abstract] Objective To investigate the effect of integration therapy on the anxious state of patients who received percutaneous coronary intervention. Methods According to the enrolling and removing standard, a total of 92 patients who received PCI were selected from March 2013 to March 2015 in our hospital,all of them were divided into observation group and control group. with 46 patients in each group. All patients received conventional drugs and deanxit treatment,the observation group received integration therapy on the basis of the conventional drugs,three months later,the scores of HAMA and the symptoms of chest discomfort were observed. Results After treatment,the HAMA scores of two groups were lower than before treatment,the observation group declined more significantly(P<0.01),the total improvement rate of anxious state and chest discomfort were obviously better than those of the control group(P<0.05). Conclusion Integration therapy could improve the anxious symptoms of patients,relieve the symptom of thoracalgia,improve the quality of life.
[Key words] Coronary heart disease; Percutaneous coronary intervention; Anxiety; Intervene
冠心病(coronary heart disease,CHD)是一種严重危害人类健康的常见疾病,是导致死亡的常见疾病之一,早发现、早治疗可以明显降低因冠心病导致心脏意外事件发生的危险。在介入技术快速发展的今天,冠心病介入治疗已经与药物治疗、冠脉搭桥手术并列成为冠心病三大主要治疗策略,冠脉介入治疗患者因高额的医疗费用、对预后的过度关注等因素导致术后出现不同程度的焦虑现象[1]。焦虑会影响患者的整个生活,最严重时可导致患者陷入死亡的恐惧中,这种焦虑、恐惧、抑郁等负面情绪严重影响治疗的效果和预后。我院心内科医生采用整合疗法干预冠脉介入术后的焦虑状态,取得很好的疗效,现报道如下。
1 对象与方法
1.1 研究对象
选择2013年3月~2015年3月来我院心内科住院接受冠状动脉介入治疗的冠心病患者。纳入和排除标准:自愿接受12周治疗和随访的患者,手术指征参照2012年中国经皮冠状动脉介入治疗指南,术后1 d采用汉密尔顿焦虑量表(HAMA)进行评分,选取HAMA≥14分的患者,排除严重的心、脑、肝、肾等器官功能衰竭者、正在服用抗抑郁药物者、中途终止治疗者、无故失访者和不能准确回答问题完成调查者。依据干预方法将符合标准的92例患者分成观察组和对照组:观察组46例,男28例,女18例,平均年龄(58.7±13.4)岁,HAMA评分(24.02±3.94)分,HAMA≥14分者8例,21分≤HAMA≤28分者34例,HAMA≥29分者4例,单支血管病变者9例,双支血管病变者33例,三支血管病变者4例;对照组46例,男30例,女16例,平均年龄(59.1±12.6)岁,HAMA评分(23.63±4.40)分,HAMA≥14分者11例,21分≤HAMA≤28分者30例,HAMA≥29分者5例,单支血管病变者11例,双支血管病变者31例,三支血管病变者4例。两组间性别、年龄、文化程度、合并高血压、高脂血症、糖尿病、常规用药、吸烟史、冠状动脉病变程度、焦虑程度等比较差异无统计学意义(P>0.05),具有可比性。