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心理干预对院前急救中急性冠状动脉综合征患者心理状态的影响

Effect of psychological intervention on psychological state of patients with acute coronary syndrome in pre hospital emergency

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【作者】 魏中原; 张晓燕; 万活荣; 杨剑锋;

【Author】 Wei Zhong-yuan;Zhang Xiao-Yan;Wan Huo-Rong;Yang Jian-feng;People’s Hospital of Qingyuan Qingcheng District of Guangdong Province;Medical College of Hunan Normal University;

【通讯作者】 杨剑锋;

【机构】 广东省清远市清城区人民医院; 湖南师范大学医学院;

【摘要】 目的:探讨在院前急救中对急性冠状动脉综合征患者实施心理干预对其心理状态的影响。方法:从2019年1月~2020年12月择取90例急性冠状动脉综合征患者,随机分为研究组和对照组,其中给予心理干预患者45例作为研究组,未给予心理干预患者45例作为对照组,对照组实施常规院前急救,研究组在院前急救中实施心理干预,对比分析两组效果。结果:从焦虑自评量表(SAS)评分分析,干预前组间对比无统计学差异,干预后研究组评分低于对照组;从抑郁自评量表(SDS)评分分析,干预前组间对比无统计学差异,干预后研究组评分低于对照组;从简明健康状况调查量表(SF‐36)评分分析,干预前组间对比无统计学差异,干预后研究组生理功能评分、健康状况评分、精神状态评分、躯体疼痛评分均高于对照组。结论:对于急性冠状动脉综合征患者而言,在院前急救中实施心理干预可以有效改善不良心理状态,促进患者恢复,临床价值显著。

【Abstract】 Objective To explore the effect of psychological intervention on mental state in patients with acute coronary syndrome during pre hospital care.Methods From January 2019 to December 2020,90 patients with acute coronary syndrome were randomly divided into study group and control group,45 patients were given psychological intervention as study group,and 45 patients were not given psychological intervention as control group.The control group was given routine pre hospital emergency treatment,while the study group was given psychological intervention in pre hospital emergency treatment.Results From the SAS score analysis,there was no statistical difference between the groups before the intervention,and the score of the study group was lower than that of the control group after the intervention;from the SDS score analysis,there was no statistical difference between the groups before the intervention,and the score of the study group was lower than that of the control group after the intervention;from the SF ‐ 36 score analysis,there was no statistical difference between the groups before the intervention,and the score of the study group was lower than that of the control group,After the intervention,the scores of physiological function,health status,mental state and physical pain in the study group were higher than those in the control group.Conclusion For patients with acute coronary syndrome,the implementation of psychological intervention in pre hospital emergency can effectively improve the bad psychological state,promote the recovery of patients,with significant clinical value.

  • 【文献出处】 湖南师范大学学报(医学版) ,Journal of Hunan Normal University(Medical Sciences) , 编辑部邮箱 ,2021年05期
  • 【分类号】R541.4
  • 【被引频次】1
  • 【下载频次】34
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