| 吴立新,马萍,胡瑞,等.合理情绪疗法对经皮冠状动脉介入治疗的冠心病患者心理弹性水平的影响[J].安徽医药,2018,22(9):1830-1833. |
| 合理情绪疗法对经皮冠状动脉介入治疗的冠心病患者心理弹性水平的影响 |
| Effect of rational emotive therapy on resilience of patients underwent percutaneous coronary intervention |
| 投稿时间：2017-03-02 |
| DOI： |
| 中文关键词: 经皮冠状动脉介入治疗 合理情绪疗法 心理弹性 |
| 英文关键词: Percutaneous coronary intervention Rational emotive therapy Resilienc |
| 基金项目: |
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| 摘要点击次数: 1854 |
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| 中文摘要: |
| 目的 探讨合理情绪疗法对经皮冠状动脉介入治疗的冠心病患者心理弹性水平的影响。方法 对2015年11月至2016年8月安庆市立医院44例经皮冠状动脉介入治疗冠心病患者,按随机数字表法随机分为干预组和对照组,每组22例。两组均进行常规健康教育,干预组在此基础上进行每周2次、共6次的合理情绪疗法联合放松训练。干预前后两组均采用中文版心理弹性量表(CD-RISC)、综合医院焦虑抑郁(HAD)量表对患者进行测评,评估干预效果。结果 干预前,两组CD-RISC、焦虑、抑郁得分比较差异均无统计学意义(依次t=0.003,P=0.997；t=-0.802,P=0.431；t=0.514,P=0.613)。干预3周后,干预组CD-RISC得分为(66.80±9.72)分,高于干预前,差异有统计学意义(t=-4.61,P=0.001),焦虑得分为(9.20±2.25)分,抑郁得分为(10.00±3.27)分,得分均低于干预前,差异有统计学意义(依次t=4.58,P=0.001；t=5.02,P=0.001)。对照组干预前后CD-RISC差值为(0.77±1.54)分,干预组干预前后CD-RISC差值为(2.40±1.65)分,差异有统计学意义(t=2.45,P=0.023)；对照组干预前后焦虑得分差值为(-0.46±0.78)分,干预组干预前后焦虑得分差值为(-1.40±0.97)分,差异有统计学意义(t=-2.59,P=0.017)；对照组干预前后抑郁得分差值为(-0.38±0.65)分,干预组干预前后抑郁得分差值为(-1.90±1.20)分,差异有统计学意义(t=-3.89,P=0.001)。结论 合理情绪疗法能有效增强PCI患者心理弹性水平,减轻焦虑和抑郁症状,提高患者生活质量。 |
| 英文摘要: |
| Objective To explore the effect of rational emotive therapy on resilience of the patients receiving percutaneous coronary intervention (PCI).Methods A total of 44 patients underwent PCI were randomly divided into study and control group equally.Patients were treated with routine health education,while those in the study group were received rational emotive therapy,twice a week for 6 weeks.Patients were evaluated using Chinese version of Connor-Davidson resilience scale (CD-RISC) and Hospital Anxiety and Depression Scale (HAD) before and after intervention.Results Before the intervention,the scores of CD-RISC,anxiety and depression in the two groups were compared as follows:t=0.003,P=0.997;t=-0.802,P=0.431;t=0.514,P=0.613.The differences were not statistically significant(P>0.05).Three weeks after intervention, in the intervention group,score of CD-RISC was 66.80±9.72,which were higher than that of before intervention(t=-4.61,P=0.001);score of anxiety was 9.20±2.25,which were lower than that of before intervention(t=4.58,P=0.001)；score of depression was 10.00±3.27,lower than that of before intervention(t=5.02,P=0.001).Scoring differential of CD-RISC (0.77±1.54),anxiety (-0.46±0.78) and depression (-1.40±0.97) before and after intervention were compared between the two groups:with statistically significant differences (t=2.45,P=0.023;t=-2.59,P=0.017;t=-3.89,P=0.001).Conclusion Reasonable mood therapy can effectively increase the elasticity of PCI in patients with psychological level,relieve anxiety and depression symptoms and improve patients quality of life. |
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