Effect of cognitive behavioral intervention on the anxiety and depression of patients with CABG

Yin Guihua; Liu Zhaoxu

doi:10.3969/j.issn.1006-7256.2015.13.012

Abstract：Objective:To discuss the influence of cognitive behavior on anxiety,depression,hemodynamics and cardiac function recovery in patients with coronary artery bypass grafting( CABG). Methods:66 patients undergoing CABG were randomly divided into the control group(n=30)and the intervention group(n=36). The routine nursing care and cognitive behavioral intervention were respectively given to the patients in the control and intervention groups. The mental state,hemodynamic test results,indwelling time of catheter,the time of monitoring and hospitalization were observed in the two groups before and after intervention. Results:After the intervention,the SAS and SDS scores were superior in the intervention group to the control group(P<0. 05);the hemodynamic parameters of HR,SBP,CO and SVR were better in the intervention group than the control group 12 hours before operation and 72 hours after operation(P<0. 05);the postop-erative tracheal intubation time,length of stay in ICU and hospitalization time was shorter in the intervention group than the control group ( P<0. 05);the regularity of diet and exercise,medication compliance and satisfaction of the patients were significantly better in the inter-vention group than the control group(P<0. 05). Conclusion:The cognitive behavioral intervention can improve perioperative psychological status of patients with CABG,effectively reduce the reflective heart rate and elevation of blood pressure resulting from stress of the patients;it can also reduce the scores of anxiety and depression and stabilize hemodynamics and increase postoperative cardiac output so as to pro-mote postoperative recovery and improve the quality of life of the patients.