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目的探讨系统的心理矫正模式对冠心病病人经皮冠脉介入术(PCI)后A型行为模式(TABP)或合并有焦虑、抑郁情绪心理干预治疗的临床可行性。方法将2005年1月至2007年5月入选的210例患者,随机分为对照组(A)和心理干预组(B)进行研究,对心理干预组施行系统规范化心理矫正后,对两组进行心理学评估。并同时随访观察6个月至2.5年,观察两组临床上的差异影响。随访阶段B组心理辅导不间断,以维持巩固B组的心理健康状态。结果系统心理矫正前后两个月的心理评估分数B组均低于A组(P<0.05),术后随访临床出现情况B组低于A组(P<0.05)。结论心理矫正能有效的纠正A型行为和负性情绪,使反复就诊和支架再介入例数明显降低。
Objective To investigate the clinical feasibility of systematic psychological correction in patients with coronary heart disease undergoing percutaneous coronary intervention (PCI) after Type A behavioral pattern (TABP) or psychological intervention with anxiety and depression. Methods A total of 210 patients selected from January 2005 to May 2007 were randomly divided into control group (A) and psychological intervention group (B). After the system of standardized psychological correction, psychological intervention group Psychological assessment. At the same time follow-up observation of 6 months to 2.5 years to observe the clinical differences between the two groups. Follow-up phase B group psychological counseling uninterrupted, in order to maintain the mental health of Group B to consolidate. Results The scores of psychological evaluation scores in two months before and after the system psychological correction were lower than those in group A (P <0.05). The clinical manifestations in group B after operation were lower than those in group A (P <0.05). Conclusion Psychological correction can effectively correct type A behavior and negative emotions, so repeated visits and stents re-intervention significantly reduced the number of cases.