Effect of group counseling combined with cognitive-behavior therapy on mood and cardiac adverse events rate in elder coronary heart disease patients after percutaneous coronary intervention
10.3760/cma.j.issn.1674-2907.2018.01.014
- VernacularTitle:团体咨询联合认知行为疗法对老年冠心病患者PCI术后情绪与心脏不良事件发生率的影响
- Author:
Ye CHEN
1
;
Xiaoyan ZHU
;
Hongzhen LIU
;
Yi SUN
Author Information
1. 214400 江阴,东南大学医学院附属江阴人民医院护理部;224005 盐城,江苏医药职业学院护理学院
- Keywords:
Group counseling;
Cognitive-behavior therapy;
Anxiety;
Depression;
Percutaneous coronary intervention
- From:
Chinese Journal of Modern Nursing
2018;24(1):64-70
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of group counseling combined with cognitive-behavior therapy on the anxiety and depression in elder coronary heart disease (CHD) patients after percutaneous coronary intervention (PCI).Methods A total of 80 elderly patients with anxiety and depression,diagnosed with CHD and underwent PCI in a Class Ⅲ hospital in Wuxi of Jiangsu Province were selected as the research objects. They were randomly divided into control group (n=40) and oberservation group (n=40) according to the admission date. The control group was given routine intervention and the oberservation group adopted group counseling combined with cognitive-behavior therapy (CBT) on the basis of routine intervention. Then psychological evaluation was performed on both groups before intervention,1 month,3 months and 6 months after intervention to compare the improvement of anxiety,depression and the major adverse cardiac events (MACE).Results The difference of time effect,group effect and cross effect of self-rating somatization symptom scale (SSS) were statistically significant in 1 month,3 months and 6 months after intervention (Ftime=5.141,P<0.05;Fgroup=8.534,P<0.01;Fcros=6.729, P<0.01). The incidence of MACE of experimental group was lower than that of control group at the point of 6 months after intervention,and the difference was statistically significant (P<0.05).Conclusions Group counseling combined with cognitive-behavior therapy can effectively improve the negative mood post-PCI and reduce the incidence of MACE. It is recommended to further promote in clinical practice.
