Résumé
ObjectiveTo discuss the effect of preoperative psychological communication on psychological state of elderly patients before destined operation.Methods136 cases of elderly patients underwent elective operation were divided into the observation group and the control group with 68 cases in each group,the control group was given routine nursing of general surgery,the observation group received targeted psychological communication based upon routine nursing for consecutive 3 days before surgery.The psychological state such as anxiety,depression and fear was compared between two groups.ResultsThe anxiety,depression and fear in the observation group was significantly improved compared with the control group.ConclusionsPreoperative appropriate and targeted psychological communication can alleviate the anxiety,depression and fear of the elderly patients with elective operation,and contribute to the smooth operation.
Résumé
Ninety elderly patients with coronary heart disease were randomly divided into 2 groups:in study group (n = 45) the cognitive-behavioral intervention as well as conventional medical treatment were performed and in control group ( n = 45 ) only conventional treatment was given. Short Form-36 ( SF-36),symptom checklist 90(SCL-90), Hamilton anxiety scale( HAMA), Hamilton depression scale( HAMD)were evaluated before and after intervention, the serum total cholesterol (TC), triglyceride (TG)and body mass index (BMI)were measured, the smoking and drinking behaviors were recorded. After 6-month of intervention the smoking [(0. 6 ± 0. 2)cigarettes/d] and drinking [(10. 1 ± 2. 3)g/d] behaviors, the scores of SF-36 (85 ± 16), SCL-90 (104 ±4), HAMA (10 ±4) and HAMD (12 ±3), the systolic blood pressure [( 123 ± 11 ) mm Hg ( 1 mm Hg = 0. 133 kPa)], diastolic blood pressure [(77 ± 5 ) mm Hg], the fasting blood glucose [(4. 2 ± 2. 6 ) mmol/L] and BMI ( 22.5 ± 0. 5 ) in study group were significantly improved compared to control group ( P ＜ 0. 01 ). The results indicate that cognitive-behavioral intervention can improve the mental state and quality of life in elderly patients with coronary heart disease.
Résumé
Objective To explore the effects of behavioral intervention on mental heath and quality of life of inpatients with coronary heart disease. Methods Eighty cases with coronary heart disease were randomly divid-ed into intervention group(n=40) and the drug treatment group(n=40). SF-36,SCL-90,EPQ,HAMA,HAMD were applied to assess the mental health state and quality of life. Results After 6-months, the score of SF-36,SCL-90,EPQ,HAMA, HAMD,and N score of EPQ in intervention group were more significantly proved than the drug treatment group SF-36:(84.7±16.2)vs(68.3±10.6); P <0.01; SCL-90:(83.5±4.2)vs(148.6±3.2)], P<0.05;EPQ-N:(43.8±4.2)vs(52.8±3.1), P<0.01;HAMA:(10.4±3.4)vs(15.1±5.1), P <0.01; HAMD: (11.4±3.8) vs (17.9±4.6), P< 0.01). Conclustion Behavioral intervention effectively im-proves mental state and quality of life of patients with coronary heart disease.