Analysis of the influence of the cognitive behavior intervention on anxiety and depression in patients treated with percutaneous coronary intervention

Objective:To discuss the influence of the cognitive behavior intervention on the anxiety,depression,treatment compliance and self-efficacy in patients treated with percutaneous coronary intervention(PCI).Methods:Eighty-four patients treated with PCI were randomly divided into the observation group and control group(42 cases each group).The control group was treated with routine nursing,and the observation group was treated with cognitive behavior intervention based on routine nursing.The scores of SAS and SDS before and after operation,and treatment compliance,incidence rate of cardiovascular events and self-efficacy after operation between two groups were compared.Results:The differences of the scores of SAS and SDS before 1 day of operation between two groups were not statistically significant(P>0.05).The scores of SAS and SDS in observation group after 1,3 and 5 days of operation were significantly lower than those in control group(P<0.01),higher than those in observation group before 1 day of operation(P<0.01),and gradually decreased with the time prolonging(P<0.05 to P<0.01).After PCI,the compliance rates of medication,health behavior,regular review,exercise treatment and diet treatment in observation group were better than those in control group(P<0.05).The incidence rate of cardiovascular event in observation group(7.1%) was lower than that in control group(23.8%)(P<0.05).After the intervention,except for the emotion control,the self-efficacy score,and the scores of symptom management,role function and communication ability in observation group were better than those in control group(P<0.01).The cognition of coronary heart disease knowledge was positively correlated with the scores of symptom management,role function and communication ability(P<0.05 to P<0.01),and not obviously correlated with emotion control(P>0.05).Conclusions:Cognitive behavior intervention can improve the levels of anxiety and depression,improve the cognitive level of coronary heart disease knowledge,strengthen the self-efficacy in patients with coronary heart disease,which has important clinical values.