Effects Of Congnitive-Behavioral Therapy On Anxiety,Depression And Quality Of Life And Prognosis In Patients With Coronary Heart Disease After Percutaneous Coronary Intervention Therapy

Objective:To explore the effects of cognitive-behavioral therapy on anxiety, depression and quality of life and prognosis in the patients with coronary heart disease after PCI.Methods:A total of300patients that received PCI from the second xiangya hospital,Central South University from62011to92011were assessed by HAD in the day before PCI, in which80patients selected according to the scores of HAD-A>7and HAD-D>7were divided into two groups with40each group, the control group received only conventional drug treatment, the intervention group were treated with cognitive-behavioral therapy on the basis of the control group, Before intervention and6month after intervention, SAS、 SDS、SF-36、SAQ were used to assess the quality of life and mental health of the patients and blood lipids、BMI、SBP、DBP、FBG、CRP were assessed too and then all these projects were compared. All the adverse cardiac events occurring during hospital stay and within6months after discharge were recorded. A total of69cases completed the intervention with33cases in the intervention group and36cases in the control group.Results:The scores of SAS and SDS between the two groups showed no difference before intervention and after6months of intervention, the differences were significant(P<0.05), The scores of the intervention group decreased obviously, and the scores of the control group showed no differences compared with before. The scores of SF-36、SAQ between the two groups showed no difference before intervention, and after6months of intervention, the scores of the two groups all increased, but the scores of intervention group were significantly higher than the control group, the differences were statistically significant(P<0.05).The levels of blood lipids、BMI、SBP、DBP、FBG、 CRP showed no difference before treatment in two groups, after6months of intervention, the differences were significant(P<0.05), The levels of the intervention group and control group all improved, but the scores of the intervention group improved obviously compared with control group. the differences were statistically significant(P<0.05). The incidence of cardiac events in control group was higher than that in intervention group.(P<0.05)Conclusion:cognitive-behavioral therapy can relieve the Negative emotion of Patients and improve the quality of life and the prognosis of Patients.