摘 要
冠心病是心血管系统常见疾病，严重影响患者生活质量。心理因素在冠心病的发生发展及预后中起着重要作用，传统治疗多侧重生理层面，对心理干预关注不足。为探讨心理干预对冠心病患者生活质量的影响，本研究选取某三甲医院2019年1月至2021年12月收治的300例冠心病患者作为研究对象，采用随机数字表法分为观察组和对照组各150例，对照组给予常规护理，观察组在常规护理基础上实施为期6个月的心理干预，包括个体化心理咨询、放松训练、健康教育等。通过SF - 36量表评估两组患者干预前后的生活质量，在基线时两组患者各项指标差异无统计学意义，干预6个月后观察组患者生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能、精神健康等维度评分均高于对照组，差异有统计学意义。这表明心理干预可有效改善冠心病患者生活质量，创新性地将多种心理干预措施综合运用于冠心病患者，不仅弥补了传统治疗忽视心理因素的缺陷，还为临床开展冠心病患者心理干预提供了参考依据，有助于提高患者整体健康水平，具有重要的临床价值和社会意义。
关键词：冠心病；心理干预；生活质量
Abstract
Coronary heart disease (CHD) is a common cardiovascular disorder that significantly impairs patients' quality of life. Psychological factors play a crucial role in the onset, progression, and prognosis of CHD, yet traditional treatments have predominantly focused on physiological aspects, often neglecting psychological interventions. To investigate the impact of psychological intervention on the quality of life in CHD patients, this study selected 300 CHD patients admitted to a tertiary hospital from January 2019 to December 2021 as subjects. Patients were randomly divided into an observation group and a control group, each comprising 150 participants, using a random number table method. The control group received routine care, while the observation group underwent a six-month psychological intervention program, which included individualized psychological counseling, relaxation training, and health education, in addition to routine care. The SF-36 questionnaire was used to evaluate the quality of life of both groups before and after the intervention. At baseline, no statistically significant differences were observed between the two groups across all indicators. After six months of intervention, the observation group exhibited significantly higher scores in physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, and mental health dimensions compared to the control group, with statistically significant differences. These findings indicate that psychological interventions can effectively improve the quality of life in CHD patients. Innovatively integrating multiple psychological intervention measures for CHD patients not only addresses the shortcomings of traditional treatments that overlook psychological factors but also provides valuable reference for clinical implementation of psychological interventions in CHD patients, thereby enhancing overall patient health and demonstrating important clinical and social significance.
Keywords：Coronary Heart Disease；Psychological Intervention；Quality Of Life
目 录
引 言 1
第一章 冠心病患者心理特征分析 2
1.1 心理压力源识别 2
1.2 患者情绪状态评估 2
1.3 心理应激反应机制 3
第二章 心理干预方法与实施 5
2.1 干预方案设计原则 5
2.2 常见心理干预手段 5
2.3 干预过程质量控制 6
第三章 生活质量评价体系构建 8
3.1 评价指标选择依据 8
3.2 数据收集方法优化 8
3.3 结果统计分析方法 9
第四章 干预效果及影响因素 11
4.1 短期效果观察分析 11
4.2 长期跟踪研究结果 11
4.3 影响效果的关键因素 12
结 论 13
参考文献 14
致 谢 15
冠心病是心血管系统常见疾病，严重影响患者生活质量。心理因素在冠心病的发生发展及预后中起着重要作用，传统治疗多侧重生理层面，对心理干预关注不足。为探讨心理干预对冠心病患者生活质量的影响，本研究选取某三甲医院2019年1月至2021年12月收治的300例冠心病患者作为研究对象，采用随机数字表法分为观察组和对照组各150例，对照组给予常规护理，观察组在常规护理基础上实施为期6个月的心理干预，包括个体化心理咨询、放松训练、健康教育等。通过SF - 36量表评估两组患者干预前后的生活质量，在基线时两组患者各项指标差异无统计学意义，干预6个月后观察组患者生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能、精神健康等维度评分均高于对照组，差异有统计学意义。这表明心理干预可有效改善冠心病患者生活质量，创新性地将多种心理干预措施综合运用于冠心病患者，不仅弥补了传统治疗忽视心理因素的缺陷，还为临床开展冠心病患者心理干预提供了参考依据，有助于提高患者整体健康水平，具有重要的临床价值和社会意义。
关键词：冠心病；心理干预；生活质量
Abstract
Coronary heart disease (CHD) is a common cardiovascular disorder that significantly impairs patients' quality of life. Psychological factors play a crucial role in the onset, progression, and prognosis of CHD, yet traditional treatments have predominantly focused on physiological aspects, often neglecting psychological interventions. To investigate the impact of psychological intervention on the quality of life in CHD patients, this study selected 300 CHD patients admitted to a tertiary hospital from January 2019 to December 2021 as subjects. Patients were randomly divided into an observation group and a control group, each comprising 150 participants, using a random number table method. The control group received routine care, while the observation group underwent a six-month psychological intervention program, which included individualized psychological counseling, relaxation training, and health education, in addition to routine care. The SF-36 questionnaire was used to evaluate the quality of life of both groups before and after the intervention. At baseline, no statistically significant differences were observed between the two groups across all indicators. After six months of intervention, the observation group exhibited significantly higher scores in physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, and mental health dimensions compared to the control group, with statistically significant differences. These findings indicate that psychological interventions can effectively improve the quality of life in CHD patients. Innovatively integrating multiple psychological intervention measures for CHD patients not only addresses the shortcomings of traditional treatments that overlook psychological factors but also provides valuable reference for clinical implementation of psychological interventions in CHD patients, thereby enhancing overall patient health and demonstrating important clinical and social significance.
Keywords：Coronary Heart Disease；Psychological Intervention；Quality Of Life
目 录
引 言 1
第一章 冠心病患者心理特征分析 2
1.1 心理压力源识别 2
1.2 患者情绪状态评估 2
1.3 心理应激反应机制 3
第二章 心理干预方法与实施 5
2.1 干预方案设计原则 5
2.2 常见心理干预手段 5
2.3 干预过程质量控制 6
第三章 生活质量评价体系构建 8
3.1 评价指标选择依据 8
3.2 数据收集方法优化 8
3.3 结果统计分析方法 9
第四章 干预效果及影响因素 11
4.1 短期效果观察分析 11
4.2 长期跟踪研究结果 11
4.3 影响效果的关键因素 12
结 论 13
参考文献 14
致 谢 15
