摘要
Abstract
Objective:To analyze the effect of psychological intervention on psychological distress and compliance of anticoagulant medication in patients with chronic lower extremity arteriosclerosis obliterans (ASO) treated by interventional therapy.Methods:A total of 88patients with chronic ASO treated in our hospital from July 2013to April2018were selected as the subjects, and they were divided into the control group and the observation group with 44cases in each group by the random number table method.The two groups were given intervention and anticoagulant therapy, and the observation group were additionally given psychological intervention.Changes in scores of Self-rating Depression Scale (SDS) , Self-rating Anxiety Scale (SAS) and symptom checklist 90 (SCL-90) after admission and before discharge were compared between the two groups.Changes in scores of Morisky Compliance Scale were evaluated at different time after discharge.The incidence rates of complications such as no reflow, acute arterial thrombosis and puncture site bleeding in the two groups were statistically analyzed.Results:After discharge, scores of SDS and SAS were decreased in the two groups, and the scores in the observation group were lower than those in the control group (t=3.944, 5.894;P＜0.05) .After discharge, scores of somatization, compulsion, interpersonal relationship, depression, anxiety, hostility, phobia, paranoia and psychosis in SCL-90were decreased, and scores of different dimensions of observation group were lower than those of the control group (t=3.354, 6.532, 6.973, 6.135, 5.958, 9.711, 8.316, 10.618, 11.530;P＜0.05) .There were significant differences of medication compliance scores within and between groups at different time after discharge (F=132.000, 48.811, 142.845;P＜0.05) .Medication compliance scores of the observation group at 1week, 1month and 3months after discharge were lower than those of the control group (t=9.832, 13.848, 12.423;P＜0.05) .The total incidence of complications in the observation group was lower than that in the control group (χ2=5.143, P＜0.05) .Conclusion:Psychological intervention can significantly correct the negative emotions, improve the compliance of anticoagulant medication, and reduce the incidence of treatment related complications in patients with chronic lower extremity ASO.关键词
下肢动脉硬化闭塞症/心理/服药依从性/介入治疗Key words
Lower extremity arteriosclerosis obliterans/Psychology/Medication compliance/Interventional therapy分类
医药卫生
