摘要
目的:探讨理性情绪行为疗法对急诊重症监护病房(ICU)急性心肌梗死患者心理状况、疾病进展恐惧简化量表(FoP-Q-SF)评分及预后的影响。方法:选取2019年1月至2020年1月医院收治的172例急性心肌梗死患者,按照随机数字表法分为对照组(n=86)和干预组(n=86),两组患者均行经皮冠状动脉介入治疗(PCI),对照组予以常规干预,干预组予以理性情绪行为疗法干预,比较两组患者焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、FoP-Q-SF评分、6分钟步行试验(6MWT)距离和Barthel指数评分及预后情况。结果:干预组患者干预后SAS评分、SDS评分明显低于对照组患者(t=9.958,8.877;P<0.05);干预组患者干预后生理健康得分、社会家庭功能得分及FoP-Q-SF总分明显低于对照组患者(t=4.985,3.333,5.961;P<0.05);干预组患者干预后6MWT距离、Barthel指数评分明显高于对照组患者(t=13.430,4.746;P<0.05);干预组患者不良心血管事件总发生率明显低于对照组患者(11.63%vs 33.72%)(χ^(2)=11.971,P<0.05)。结论:理性情绪行为疗法可有效改善急诊ICU急性心肌梗死患者心理状况,降低其对疾病进展的恐惧程度,并改善患者预后。
Objective:To explore the effects of rational emotive behavior therapy on the psychological status,Fear of Progression Questionnaire-Short Form(FoP-Q-SF)scores and prognosis in patients with acute myocardial in-farction in emergency intensive care unit(ICU).Methods:A total of 172patients with acute myocardial infarction ad-mitted to the hospital were selected between January 2019and January 2020,and they were divided into control group(n=86)and intervention group(n=86)according to the random number table method.Both groups of patients were treated with percutaneous coronary intervention(PCI),and the control group was given conventional interven-tion,and the intervention group adopted rational emotive behavior therapy intervention.Self-rating Anxiety Scale(SAS)score,Self-rating Depression Scale(SDS)score,FoP-Q-SF scores,6-minute walk test(6MWT),Barthel index score and prognosis were compared between the two groups of patients.Results:The SAS and SDS scores in in-tervention group were significantly lower than those in control group(t=9.958,8.877;P<0.05).The scores of phys-iological health and social family function and total score of FoP-Q-SF after intervention were significantly lower in intervention group than those in control group(t=4.985,3.333,5.691;P<0.05).The 6MWT and Barthel index score in intervention group after intervention were significantly higher compared with those in control group(t=13.430,4.746;P<0.05).The total incidence rate of adverse cardiovascular events in intervention group was signifi cantly lower than that in control group(11.63%vs 33.72%)(χ^(2)=11.971,P<0.05).Conclusion:Rational emotive be-havior therapy can effectively improve the psychological status of patients with acute myocardial infarction in emer-gency ICU,reduce the fear of disease progression and improve the prognosis of patients.
作者
王宏谦
田群群
刘亚楠
郭津津
臧舒婷
WANG Hongqian;TIAN Qunqun;LIU Yanan(Department of Emergency Medicine,Henan Provincial People's Hospital,Zhengzhou 450003,China)
出处
《中国健康心理学杂志》
北大核心
2022年第10期1510-1514,共5页
China Journal of Health Psychology
基金
河南省科技厅项目(编号:212102310136)。
关键词
理性情绪行为疗法
急诊重症监护病房
急性心肌梗死
心理状况
恐惧疾病进展简化量表
Rational emotive behavior therapy
Emergency intensive care unit
Acute myocardial infarction
Psy-chological status
Fear of Progression Questionnaire-Short Form
