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[摘要] 目的 研究细致化健康教育对主动脉球囊反搏术患者焦虑、抑郁情绪的影响。 方法 选取2010年1月～2013年11月采用主动脉球囊反搏术进行治疗的48例患者为研究对象，将其随机分为对照组（常规健康教育组）24例和观察组（细致化健康教育组）24例，然后两组分别于健康教育前和健康教育后1、2周时采用Zung自评量表和视觉模拟评分法进行焦虑、抑郁的评估，然后比较评估结果。 结果 观察组健康教育后1、2周时焦虑、抑郁阳性率及程度均低于对照组，差异有统计学意义（P<0.05）。 结论 细致化健康教育可有效缓解主动脉球囊反搏术患者的焦虑、抑郁情绪。

[关键词] 细致化健康教育；主动脉球囊反搏术；焦虑、抑郁

[中图分类号] R541 [文献标识码] B [文章编号] 1674-4721（2014）08（a）-0138-03

Influence study of detailed health education for the anxiety and depression of patients with intra-aortic balloon pump

NIE Lin-lin WANG Bi-qian ZHOU Yuan-feng YUAN Jian CHE Feng

Department of Cardiology，the Iron and Steel CO.，Ltd. Center Hospital of Jiangxi Province，Xinyu 338001，China

[Abstract] Objective To study the influence of detailed health education for the anxiety and depression of patients with intra-aortic balloon pump. Methods 48 patients with intra-aortic balloon pump from January 2010 to November 2013 were selected as the study object，and they were divided into control group （conventional health education group） in 24 cases and observation group （detailed health education group） in 24 cases，then the anxiety and depression of two groups were evaluated with Zung self-rating scale and visual analog scale before the health education and at 1st，2nd week after the health education，and the evaluation results were compared. Results The positive rate and degree of anxiety and depression of observation group at 1st and 2nd week after the health education were all lower than those of control group，the difference was significant （P<0.05）. Conclusion The detailed health education can effectively relax the anxiety and depression of patients with intra-aortic balloon pump.

[Key words] Detailed health education；Intra-aortic balloon pump；Anxiety and depression

主动脉球囊反搏术是临床中治疗心血管疾病的一类方式，采用此方式治疗的患者多为严重程度较高或药物治疗无效者，此类患者多因对治疗认知程度较低及对疾病预后担忧而表现出明显的不良情绪，其中焦虑与抑郁是表现极为突出的方面，而这种情绪的存在对患者的预后极为不利[1]，因此对其疏导的价值较高。本研究中主要对细致化健康教育对主动脉球囊反搏术患者焦虑、抑郁情绪的影响进行探讨。

1 资料与方法

1.1 一般资料

选取2010年1月～2013年11月采用主动脉球囊反搏术进行治疗的48例患者为研究对象，将其随机分为对照组（常规健康教育组）24例和观察组（细致化健康教育组）24例。对照组24例患者中，男性14例，女性10例；年龄50～72岁，平均（63.4±4.5）岁；其中心肌梗死20例，药物治疗无效的心绞痛4例；文化程度：小学与初中18例，中专及以上6例。……