目的 探究认知行为应激管理对经皮冠状动脉介入(Percutaneous coronary artery intervention,PCI)治疗后急性心肌梗死(acute myocardial infarction,AMI)患者焦虑、抑郁和生活质量的影响.方法 选取2020年8月～2022年8月本院收治的98例急性心肌梗死患者实施回顾性研究,按照临床管理方式不同分为研究组49例、对照组49例.对照组实施常规管理,研究组实施认知行为应激管理,比较两组焦虑状态、抑郁状态、阿森斯失眠量表(Asence Insomnia Scale,AIS)、生活质量量表36(Quality of Life scale 36,SF-36评分)、满意度的差异.结果 等级资料秩和检验显示,与干预前相比,干预后两组焦虑状态、抑郁状态均改善(Z=5.638、2.601、5.754、3.607,P＜0.05),且与对照组相比,干预后研究组焦虑状态、抑郁状态更轻(Z=3.174,P＜0.05).AIS评分的时点效应、组间效应、交互效应比较差异有显著性(P＜0.05),与干预前相比,干预后两组AIS评分均降低(P＜0.05),且与对照组相比,干预后研究组AIS、SF-36评分均更低(P＜0.05).等级资料秩和检验显示,与对照组相比,研究组满意度更好(Z=2.555,P＜0.05).结论 认知行为应激管理应用于PCI治疗后急性心肌梗死患者可有效改善患者焦虑状与抑郁状态,提高睡眠质量与生活质量,提升临床管理满意度.
Effect of cognitive behavioral stress management on anxiety,depression and quality of life of patients with acute myocardial infarction after percutaneous coronary intervention
Objective To explore the influence of cognitive behavioral stress management on anxiety,depres-sion and quality of life of patients with acute myocardial infarction(acute myocardial infarction,AMI)after percutane-ous coronary intervention(percutaneous coronary intervention,PCI).Methods From August 2020 to August 2022,98 patients with acute myocardial infarction in our hospital were selected for retrospective study,and they were divided into study group with 49 cases and control group with 49 cases according to different clinical management methods.The control group was given routine management,while the study group was given cognitive behavioral stress management.The differences of anxiety,depression,athens Insomnia Scale(athens Insomnia Scale,AIS),Quality of Life Scale 36(Life Scale 36,SF-36 score)and satisfaction between the two groups were compared.Results The anxiety and depression of the two groups were improved after the intervention(Z=5.638,2.601,5.754,3.607,P＜0.05),and the anxiety and depression of the study group were lighter after the intervention(Z=3.174,P＜0.05).The analysis of variance of repeated measurement showed that there were statistically significant differences in time-point effect,inter-group effect and interaction effect of AIS score(P＜0.05).Compared with before intervention,the AIS scores of the two groups decreased(P＜0.05),and compared with the control group,the AIS scores of the study group were lower after intervention(P＜0.05).Compared with before intervention,the scores of SF-36 in both groups increased after intervention(P＜0.05).And the study group was higher than the control group(P＜0.05).Rank sum test of grade data showed that the study group was more satisfied than the control group(Z=2.555,P＜0.05).Conclusion The ap-plication of cognitive behavioral stress management in patients with acute myocardial infarction after PCI can effectively improve their anxiety and depression,improve their sleep quality and quality of life,and enhance their satisfaction with clinical management.
Acute myocardial infarctionPercutaneous coronary interventionCognitive behavioral stress man-agementAnxietyDepressionquality of life
NETL
NSTL
万方数据
