摘要
目的探讨百忧解舍并认知行为疗法对冠脉介入治疗的患者焦虑、抑郁情绪的作用。方法将60例行冠脉介入治疗的冠心病患者随机分为试验组和对照组，试验组服用百忧解及采用认知行为疗法的心理干预，对照组实行常规护理。2组患者在试验前与介入治疗1～2周后使用量表进行焦虑、抑郁评分。结果试验组焦虑、抑郁值在采用措施后明显降低，有显著性差异（P〈0．01），而对照组2次结果无显著性差异（P〉0．05）。结论百忧解合并认知疗法对冠脉介入患者焦虑、抑郁情绪改善作用明显。
Objective To explore the effect of fluoxetine hydrochloride pulvules （PROZAC） combined with cognitive--behavior therapy in treating anxiety and depression of the patients received percu- taneous coronary intervention （PCI）. Methods 60 patients received PCI were divided randomly into treatment group and control group. Treatment group were treated with fluoxetine hydrochloride pulvules （PROZAC） and cognitive--behavior therapy, while control group were treated with the routine nursing. Two groups were evaluated on the patients＇ anxiety and depression by the scales before and 1-2 weeks after receiving PCI. Results The anxiety and depression value of the patients in treatment group reduced significantly after the treatment （P 〈 0.01 ）, while that of control group had no significant change after the treatment （P 〈0.05）. Conclusions The combination of fluoxetine hydrochloride pulvules （PROZAC） and cognitive--behavior therapy can improve the anxiety and depression emotion of the patients received PCI.
基金
2005年山东省卫生厅立项课题（2005HW105）
关键词
冠脉介入治疗
认知行为疗法
百忧解
焦虑
护理
Percutaneous coronary intervention
Cognitive--behavior therapy
Fluoxetine hydrochloride pulvules
Anxiety
Nursing
