摘要
目的 探讨健康管理联合结构式心理干预对急性心肌梗死患者经皮冠状动脉介入治疗术后认知水平、应激水平及生活质量的影响。方法 将121例接受经皮冠状动脉介入治疗的急性心肌梗死患者按照随机数字表法分为研究组61例与对照组60例。两组均给予基础干预及健康管理,对照组给予常规心理干预,研究组给予结构式心理干预,观察3个月。干预前后采用简易精神状态检查量表评定患者的精神状态,比较两组超氧化物歧化酶、丙二醛水平,采用日常生活能力评定量表评定两组生活质量,比较两组围术期并发症发生率。结果 干预后两组简易精神状态检查量表总分及各维度分均较干预前显著升高(P<0.01),研究组显著高于对照组(P<0.01);两组丙二醛水平均较干预前显著降低(P<0.01),超氧化物歧化酶水平均较干预前显著升高(P<0.01),研究组较对照组变化更显著(P<0.01);两组日常生活能力评定量表总分及各维度分均显著高于干预前(P<0.01),研究组显著高于对照组(P<0.01)。研究组围术期并发症发生率显著低于对照组(P<0.05)。结论 健康管理联合结构式心理干预可有效改善急性心肌梗死患者经皮冠状动脉介入治疗术后的认知功能,减轻应激反应,提高生活质量,降低术后并发症发生风险,具有推广应用价值。
Objective To investigate the effect of health management combined with structural psychological intervention on cognitive level, stress level and quality of life in patients with acute myocardial infarction(AMI) after percutaneous coronary intervention(PCI). Methods A total of 121 AMI patients who received PCI were divided into study group(61 cases) and control group(60 cases) according to random number table method. Both groups were given basic intervention and health management, the control group was given routine psychological intervention, and the study group was given structured psychological intervention for 3 months. Before and after the intervention, the mental state of patients was assessed by the mini-mental state examination(MMSE). The levels of superoxide dismutase(SOD) and malonic dialdehyde(MDA) were compared between the two groups. The quality of life of the two groups was assessed by the activity of daily living scale(ADL), and the incidence of perioperative complications was compared between the two groups. Results After the intervention, the MMSE total score and each dimension score in the two groups were significantly higher than those before intervention(P<0.01), and the study group was significantly higher than the control group(P<0.01). The levels of MDA in the two groups were significantly lower than those before intervention(P<0.01), and the levels of SOD were significantly higher than those before intervention(P<0.01), and the changes in the study group were more significant than those in the control group(P<0.01).The ADL total score and each dimension score in the two groups were significantly higher than those before intervention(P<0.01),and the study group was significantly higher than the control group(P<0.01).The incidence of perioperative complications in the study group was significantly lower than that in the control group(P<0.05).Conclusions Health management combined with structured psychological intervention can effectively improve the cognitive function of AMI patients after PCI,reduce stress response,improve quality of life,and reduce the risk of postoperative complications,which has the value of popularization and application.
作者
刘书英
景秀荣
段丽君
Liu Shuying;Jing Xiurong;Duan Lijun(General Hospital of Pingmei Shenma Medical Group,Pingdingshan 467000,Henan,China)
出处
《临床心身疾病杂志》
CAS
2022年第5期72-76,共5页
Journal of Clinical Psychosomatic Diseases
