【摘要】 目的 探讨盐酸帕罗西汀联合心理干预对心血管疾病患者焦虑抑郁情绪和自我管理能力的影响。方法 将96例心血管疾病患者按随机数字表法分为两组,各48例,两组均予以盐酸帕罗西汀治疗,研究组在此基础上联合心理干预,观察4周。于干预前后采用焦虑自评量表、抑郁自评量表评定焦虑抑郁情绪,自我管理行为量表评定自我管理能力。结果 干预2周末起两组焦虑自评量表、抑郁自评量表评分均较干预前显著降低(P<0.05),研究组显著低于对照组(P<0.05)。干预4周末两组自我管理行为量表的体能锻练、耐力锻炼因子分和认知性症状管理实践、与医生的沟通分量表评分均较干预前显著升高(P<0.05),研究组显著高于对照组(P<0.05)。结论 盐酸帕罗西汀联合心理干预能显著改善心血管疾病患者的焦虑抑郁情绪,提高其自我管理能力,优于单用药物治疗。更多还原

【Abstract】 Objective To investigate the effects of paroxetine hydrochloride combined with mental intervention on anxiety-depression emotion and self-management ability in patients with cardiovascular diseases. Methods 96 patients with cardiovascular diseases were randomly divided into two groups, with 48 cases in each group. The two groups were all given paroxetine hydrochloride treatment, and the study group was plus mental intervention on this basis, both groups were observed for 4 weeks. The SAS scale, SDS scale were used to assess the anxiety and depression before and after the intervention. The self-management behavior scale was used to assess the self-management ability of patients. Results At the end of the2 nd week of intervention, the SAS, SDS scores of the two groups were significantly lower than those before the intervention(P<0. 05), and the study group was significantly lower than the control group(P<0. 05). After 4 weeks of intervention, the subscale scores of physical exercise, endurance exercise factor and cognitive symptom management practice, communication with doctors in the study group were significantly higher than those in the control group(P<0. 05). Conclusion Paroxetine hydrochloride combined with mental intervention can significantly improve the anxiety and depression of patients with cardiovascular disease, and improve their self-management ability, which is better than single-agent drug therapy.更多还原