摘要
目的 探讨认知行为干预（CBI）对心血管疾病患者焦虑抑郁情绪的影响。方法 将120例合并焦虑抑郁的心血管疾病患者随机分为干预组（CBI+常规治疗）和对照组（常规治疗），干预4周。采用医院焦虑抑郁量表（HADS）评估情绪状态，比较两组干预前后评分差异。结果 干预后，干预组焦虑评分、抑郁评分显著低于对照组（P<0.001）。总有效率干预组（88.33%）高于对照组（45.00%）（P<0.001）。结论 CBI可有效改善心血管疾病患者的焦虑抑郁情绪，具有临床推广价值。
关键词： 心血管疾病；焦虑；抑郁；认知行为干预；效果评价
Abstract
Objective To investigate the effects of cognitive behavioral intervention (CBI) on anxiety and depression in patients with cardiovascular disease. Methods A total of 120 patients with cardiovascular disease and concomitant anxiety and depression were randomly assigned to an intervention group (CBI + conventional treatment) and a control group (conventional treatment), with the intervention lasting for 4 weeks. The Hospital Anxiety and Depression Scale (HADS) was used to assess emotional status, and the differences in scores before and after intervention were compared between the two groups. Results After intervention, the anxiety scores and depression scores in the intervention group were significantly lower than those in the control group (P < 0.001). The overall response rate in the intervention group (88.33%) was higher than that in the control group (45.00%) (P < 0.001). Conclusion CBI can effectively improve anxiety and depression in patients with cardiovascular disease and has clinical application value.
Key words： Cardiovascular disease; Anxiety; Depression; Cognitive behavioral intervention; Effectiveness evaluation
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