Comprehensive Psychological Intervention Research Articles

Comprehensive psychological crisis intervention of college students with anxiety disorder

BackgroundAnxiety disorder is one of the common mental health problems in college students, which hurts their study, work, and life. Comprehensive psychological crisis intervention is a complete psychological treatment method expected to be essential in treating anxiety disorders in college students.Subjects and MethodsOne hundred college students with anxiety disorder were selected as research subjects and randomly divided into two groups. The experimental group received comprehensive psychological crisis intervention treatment and comprehensive intervention measures such as psychological assistance, cognitive behavioral therapy, and intimate relationship training. The control group received traditional psychotherapy, including counseling and medication. The Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS), and other assessment tools were used to carry out psychological measurements of the two groups of patients before, after, and at the follow-up point, respectively. The collected information was statistically analyzed by SPSS23.0 software.ResultsAfter the comprehensive psychological crisis intervention treatment, the anxiety and depression levels of the experimental group were significantly reduced (P<0.001), and life satisfaction was significantly increased (P<0.001). Compared with the control group, the experimental group showed obvious advantages in curative effect.ConclusionsComprehensive psychological crisis intervention has shown remarkable efficacy in college students with anxiety disorders, can effectively reduce anxiety and depression, and improves the life satisfaction of patients. This approach may become an essential option for treating anxiety disorders in college students.Acknowledgement2021 Humanities and Social Sciences Research Project for Basic Research Business Expenses of Provincial Undergraduate Universities in Heilongjiang Province. No. 2021- kyywf-0384.

Improvement of the rural grassroots community work mechanism and its role in alleviating farmers’ psychological anxiety

BackgroundWith the development of modern rural areas, farmers have developed anxiety, which is a reflection of the imperfect grassroots construction in rural areas. By establishing innovative and perfect grassroots systems, psychological anxiety relief is implemented for farmers. This study investigates the role of improving and innovating the working mechanism of rural grassroots communities in alleviating farmers’ psychological anxiety.Subjects and MethodsA total of 60 farmers from a certain village were selected and randomly divided into an intervention group and a control group, with 30 cases in each group. The intervention group received comprehensive psychological intervention and anxiety counseling, while the control group did not receive any treatment. The anxiety self-assessment scale scores were evaluated before and after the intervention. The results were tested using SPSS16.0 statistical software.ResultsBefore intervention, there was no statistically significant difference (P>0.05) between the two groups of subjects in the scores of the Self Rating Anxiety Scale, indicating no statistical significance; The score of the anxiety self-assessment scale in the intervention group decreased significantly before and after intervention (P<0.05), while there was no statistical difference in the score of the anxiety self-assessment scale in the control group before and after intervention (P>0.05).ConclusionsThe improvement and innovation of rural grassroots community work mechanisms have a good development for psychological intervention, which can effectively reduce farmers’ anxiety levels, improve patients’ quality of life, and have a good effect on farmers’ enthusiasm for life and mental health. It is worth further promoting.

Adolescent Online Gaming Disorder, Comorbidity, Neural Mechanism and Psychotherapy of Internet Gaming Disorder

Due to the sharp increase in the number of online game addicts, this paper systematically reviewed the neural mechanism, comorbidity, and psychotherapy of adolescent online game addicts. Online gaming disorder (IGD) is a new concept, which has been studied in many aspects in different literature. The analysis of existing research results shows that inhibition control and risk behaviors of adolescents with online gaming addiction are increased, and depression and dissociative experience is a common comorbidity of Internet game disorder. Single psychotherapy cannot effectively treat adolescents with online gaming addiction. Comprehensive psychological intervention based on cognitive behavior therapy is more effective for adolescent participants. This paper aims to analyze the existing literature, systematically review the neural mechanism, comorbidity, and psychotherapy of adolescent online game disorder, and provide guidance for future research in this emerging field. At the end of this paper, these suggestions will help scholars find problems and gaps that have not been fully explored, and these problems and gaps can become the basis for further research.

Symptoms of depression, perceived social support, and medical coping modes among middle-aged and elderly patients with type 2 diabetes.

Objective: To understand the prevalence of depression in diabetes population, explore the relationship between diabetes and depression, and the impact of comprehensive psychological and behavioral intervention on depression related to diabetes and glucose metabolism. Methods: 71 middle-aged and elderly patients with type 2 diabetes were investigated and evaluated with Self Rating Depression Scale (SDS), Medical Coping Scale (MCWQ) and Social Support Scale (PSSS). Patients who met the research criteria were randomly divided into an experimental group and a control group. The number of effective cases in the two groups was 36 and 35 respectively. In addition to conventional diabetes drug treatment, the experimental group was supplemented with comprehensive psychological and behavioral intervention, while the control group was only given conventional treatment. The fasting blood glucose, 2-h postprandial blood glucose, body weight and depression index were measured before and after treatment in the two groups. Results: The prevalence of depression in patients with diabetes was as high as 60%, and that in the elderly control group was 5%; In type 2 diabetes population, depression is negatively related to the total score of social support and medical coping surface, and positively related to avoidance, blood sugar, women, course of disease, education level below junior high school, body mass index, and number of complications in medical coping; The fasting blood glucose, 2-h postprandial blood glucose, body mass index, and depression index of the two groups decreased, and the range and speed of decline in the experimental group were higher than those in the control group; There were significant differences between the two groups in fasting blood glucose, 2-h postprandial blood glucose and depression index; During the follow-up period, the blood glucose and depression index of the experimental group increased. Conclusion: Depression has a high prevalence rate in middle-aged and elderly people with type 2 diabetes, and has a negative impact on blood sugar control in diabetes patients; Psychological and behavioral comprehensive intervention can improve the glucose metabolism and depressive symptoms of middle-aged and elderly patients with type 2 diabetes.

Influences of Comprehensive Psychological Intervention on the Psychological Behavior Problems and Learning Adaptability of Students at Age of 6-12 Years Old.

The age of 6-12 yr show different degrees of learning adaptability problems. We aimed to explore the influence of comprehensive psychological intervention on the psychological behavior problems and learning adaptability of students at age of 6-12 yr old. In March 2022, 768 students were selected from two primary schools in Harbin of China, and divided into control and observation groups. The changes in the scores of Achenbach Child Behavior Checklist (CBCL) for parent use and Mental Health Rate Scale for Pupil (MHRSP), and self-cognitive ability and learning adaptability level before and after the intervention were compared between the two groups. After the intervention, the discipline violation, hostility, compulsion, immaturity, evil communication, schizoid personality, and physical symptom scores in the observation group (boys) were reduced compared with those before the intervention. In comparison with the situation before the intervention, the cruelty, aggression, immaturity, depression and withdrawal, physical symptom, anxiety, and compulsion scores in the observation group (girls) were reduced, and the CBCL scores were improved better than those in the control group (P<0.05). In comparison with the situation before the intervention, the scores of MHRSP, self-cognitive ability, and learning adaptability score and level in the observation group were elevated after the intervention, and the above scores were improved obviously to a greater extent than those in the control group (P<0.05). Comprehensive psychological intervention can effectively improve the psychological behavior problems of children at the age of 6-12 yr, and enhance their self-cognitive ability and learning adaptability.

Evaluation and Analysis of Elderly Mental Health Based on Artificial Intelligence.

The purpose is to understand the depression status of the elderly in the community, explore its influencing factors, formulate a comprehensive psychological intervention plan according to the influencing factors, implement demonstration psychological intervention, and evaluate and feedback the effect, so as to provide a reference for improving the mental health of the elderly. In order to make the output of different emotional data in LSTM more discriminative, a method to dynamically filter the output of LSTM is proposed. Combining the methods of Attention-LSTM, time-dimensional AI attention, and feature-dimensional AI attention, the best model in this paper is obtained. The multistage stratified cluster sampling method was used to conduct a questionnaire survey on the elderly aged 60 and above in a certain area, including the general demographic characteristics questionnaire of the elderly, the self-rating scale of mental health symptoms, and the health self-management ability of adults. All data were entered into a database using Excel software, and SPSS 19.0 statistical software was used for statistical analysis. Results/Discussion. The detection rate of depression (GDS ≥ 11 points) among the elderly in a community in a certain area was 39.38%. Multivariate logistic regression analysis showed that family history of mental illness, more negative life events, decreased ability of daily living, living alone, and suffering from physical diseases in the past six months were the risk factors for depression in the elderly. Community health education can partially alleviate depression in the elderly. The detection rate and degree of depression of the elderly in the comprehensive psychological intervention group were significantly lower than those in the control group, and the difference was statistically significant (P < 0.05).

Psychological Intervention to Improve Communication and Patient Safety in Obstetrics: Examination of the Health Action Process Approach.

BackgroundHuman failure and a lack of effective communication are the main reasons for preventable adverse events, compromising patient safety in obstetrics. In order to improve safety, team and communication interventions have been implemented but lack feasibility in obstetric care. Psychological models such as the health action process approach might help to improve interventions.MethodsIn a cross-sectional online survey with N = 129 healthcare workers (Study 1) and a paper-pencil survey with N = 137 obstetric healthcare workers at two obstetric university hospitals (Study 2), associations of social-cognitive variables were tested in a path analysis and a multiple regression. Preliminary results informed a communication training for all obstetric healthcare workers. A repeated-measures MANOVA was used to compare pre- and post-intervention data.ResultsSocial-cognitive variables were associated according to model suggestions (β = –0.26 to 0.45, p < 0.05) except for planning in the first study. Triggers of adverse events were associated (β = –0.41 to 0.24, p < 0.05) with communication behavior (Study 2), action self-efficacy and planning (Study 1), as well as barriers to effective communication (both studies). The intervention was rated positively (M = 3.3/4). Afterward, fewer triggers were reported and coping self-efficacy increased. There were group differences regarding hospital, experience, and time.DiscussionThe health action process approach was examined in the context of safe communication in obstetrics and can be used to inform interventions. A theory-based, short training was feasible and acceptable. Perceived patient safety improved but communication behavior did not. Future research should aim to test a more comprehensive psychological communication intervention in a thorough RCT design.

Research on Mental Stress Recognition of Depressive Disorders in Patients With Androgenic Alopecia Based on Machine Learning and Fuzzy K-Means Clustering.

Under the new trend of industry 4.0 software-defined network, the value of meta heuristic algorithm was explored in the recognition of depression in patients with androgenic alopecia (AGA), and there was an analysis on the effect of comprehensive psychological interventions in the rehabilitation of AGA patients. Based on the meta heuristic algorithm, the Filter and Wrapper algorithms were combined in this study to form a new feature selection algorithm FAW-FS. Then, the classification accuracy of FAW-FS and the ability to identify depression disorders were verified under different open data sets. 54 patients with AGA who went to the Medical Cosmetic Center of Tongji Hospital were selected as the research objects and rolled into a control group (routine psychological intervention) and an intervention group (routine + comprehensive psychological interventions) according to different psychological intervention methods, with 27 cases in each group. The differences of the self-rating anxiety scale (SAS), self-rating depression scale (SDS), Hamilton depression scale (HAMD), and physical, psychological, social, and substance function scores before and after intervention were compared between the two groups of AGA patients, and the depression efficacy and compliance of the two groups were analyzed after intervention. The results showed that the classification accuracy of FAW-FS algorithm was the highest in logistic regression (LR), decision tree (DT), K-nearest neighbor (KNN) algorithm, support vector machine (SVM) algorithm, and random forest (RF) algorithm, which was 80.87, 79.24, 80.42, 83.07, and 81.45%, respectively. The LR algorithm had the highest feature selection accuracy of 82.94%, and the classification accuracy of depression disorder in RF algorithm was up to 73.01%. Besides, the SDS, SAS, and HAMD scores of the intervention group were lower sharply than the scores of the control group (p < 0.05). The physical function, psychological function, social function, and substance function scores of the intervention group were higher markedly than those of the control group (p < 0.05). In addition, the proportions of cured, markedly effective, total effective, full compliance, and total compliance patients in the intervention group increased obviously in contrast to the proportions of the control group (p < 0.05). Therefore, it indicated that the FAW-FS algorithm established in this study had significant advantages in the recognition of depression in AGA patients, and comprehensive psychological intervention had a positive effect in the rehabilitation of depression in AGA patients.

Influence of Psychological Nursing Intervention on Psychological State, Treatment Compliance, and Immune Function of Postoperative Patients with Rectal Cancer.

In order to explore the clinical effect of psychological nursing intervention on postoperative chemotherapy for rectal cancer, 120 cases of rectal cancer patients were selected as the research subjects. The control group received conventional nursing treatment after operation, and the research group received comprehensive psychological nursing intervention on this basis. The self-rating anxiety scale (SAS) scores, self-rating depression scale (SDS) scores, hope level scores, nursing satisfaction, mental state changes, treatment compliance, and immune function of two groups were analyzed and compared. There was no significant difference between the two groups of patients in the preoperative SAS, SDS, and hope level scale scores. After the intervention, postoperative SAS and SDS scores and CD8+ value of the research group were significantly lower than those of the control group. In contrast, the postoperative hope level score, treatment compliance, and postoperative CD4+/CD8+ of the research group were significantly higher, and the nursing satisfaction was better than that of the control group. The application of psychological nursing intervention in postoperative chemotherapy for patients with rectal cancer can effectively relieve anxiety and depression of patients, promote patients to establish a healthy and coordinated mental state, improve treatment compliance, improve immune function, and promote disease recovery.

Analysis of the effect of comprehensive psychological intervention on atorvastatin in the treatment of chronic glomerulonephritis.

Analysis of the effect of comprehensive psychological intervention on atorvastatin in the treatment of chronic glomerulonephritis.

Prevalence and risk factors for acute posttraumatic stress disorder during the COVID-19 outbreak

BackgroundTo examine the prevalence of and risk factors for acute posttraumatic stress disorder (PTSD) shortly after the massive outbreak of COVID-19 in China.MethodsAn online anonymous survey was conducted between 30 January and 3 February, 2020. The survey included two self-administered questionnaires: one collected personal information (gender, age, education background), current location, recent epidemic area contact history, the classification of population, and subjective sleep quality; the other was the PTSD Checklist for DSM-5 (PCL-5).ResultsA total of 2091 Chinese participated in the current study. The prevalence of PTSD among the Chinese public one month after the COVID-19 outbreak was 4.6%. Multiple linear regression analysis revealed that gender (p < 0.001), epidemic area contact history (p = 0.047), classification of population (p < 0.001), and subjective sleep quality (p < 0.001) could be regarded as predictors for PTSD.LimitationsFirst, the majority of participants in this study were the general public, with confirmed or suspected patients being a small part. Second, the measurement of PTSD in this study might be vulnerable to selection bias because of an online self-report study, such as participants’ recruitment. Third, the prevalence of PTSD in this study was estimated by an online questionnaire rather than a clinical interview.ConclusionsThe results suggested that some Chinese showed acute PTSD during the COVID-19 outbreak. Therefore, comprehensive psychological intervention needs further implementation. Furthermore, females, people who had recent epidemic area contact history, those at high risk of infection or with poor sleep quality deserve special attention.

Recommended psychological crisis intervention response to the 2019 novel coronavirus pneumonia outbreak in China: a model of West China Hospital.

The novel coronavirus pneumonia (COVID-19) epidemic has brought serious social psychological impact to the Chinese people, especially those quarantined and thus with limited access to face-to-face communication and traditional social psychological interventions. To better deal with the urgent psychological problems of people involved in the COVID-19 epidemic, we developed a new psychological crisis intervention model by utilizing internet technology. This new model, one of West China Hospital, integrates physicians, psychiatrists, psychologists and social workers into Internet platforms to carry out psychological intervention to patients, their families and medical staff. We hope this model will make a sound basis for developing a more comprehensive psychological crisis intervention response system that is applicable for urgent social and psychological problems.

Psychological Comorbidities in Autism Spectrum Disorder.

Autism spectrum disorder (ASD) is characterized by impairment in behavior, communication, and social interaction. Thus, accurate identification, regular behavioral and other nonmedical interventions would improve the diagnosis, management, and treatment of this condition.In this chapter, we investigate the importance of diagnosing and identifying comorbid psychiatric disorders that occur with ASD as these conditions can often complicate treatment, and failure to recognize them can result in deficits that can persist into adolescence and adulthood. In addition, we explore the impact of comprehensive psychological intervention in ASD patients with comorbid psychiatric disorders with the ultimate goal of improving overall quality of life.

Effects of Early Comprehensive Psychological Interventions on Negative Emotions in Patients with Facial Spasm Undergoing Microvascular Decompression

Purpose: This study was undertaken to assess the effects of early psychological interventions on negative emotions in patients with facial spasm undergoing microvascular decompression. Methods: A total of 164 cases of patients with facial spasm undergoing microvascular decompression were included in the study. They were randomly divided into two groups: the patients in the control group (81 cases) were given conventional nursing care and the patients in the experimental group (83 cases) were given early comprehensive psychological interventions including cognitive therapy, behavior therapy and supportive therapy. All participants were evaluated with the Self-Rating Anxiety Scale (SAS) and the Self-Rating Depression Scale (SDS) before and after the nursing interventions. Results: Before intervention, the SAS and SDS scores of patients in experimental group were 51.70±9.49 and 44.99±10.25, respectively, they were 50.92±10.25 and 44.27± 9.93 in control group. No significant (p>0.05) differences in SAS and SDS scores were found before nursing interventions. After intervention, the SAS and SDS scores of patients in experimental group were 34.33±9.56 and 29.55±7.64. The SAS and SDS scores were 40.65±12.06 and 35.36 ± 8.66 in control group. Patients receiving early comprehensive psychological interventions got much lower SAS and SDS scores than those in the control group and the differences between them were statically significant (p<0.05). Conclusion: The results from this study and published data support the conclusion that early comprehensive psychological intervention is beneficial to alleviate the negative emotions and promote mental health in patients with hemifacial spasms undergoing microvascular decompression. However, further extensive work will be required to study more in depth.

Application effect of different stages of focus intervention in hemodialysis induction stage patients

Objective To investigate the effect of different stages of key intervention in hemodialysis induction. Methods A total of 80 cases of induction period patients who received hemodialysis treatment in the center from January 2014 to December 2017 were selected and divided into observation group and control group with 40 cases each according to random number table method.The observation group carried out key interventions at different stages for patients, which were divided into three stages: early induction stage, induction stage and late induction stage. A total of 7 times of comprehensive psychological intervention and health education were planned for patients and their families, and the psychological status of patients at the three stages was analyzed for targeted key interventions.The control group was randomized to receive one-time health education during dialysis treatment. Results The observation group was significantly better than the control group in terms of dialysis treatment compliance, hemodialysis-related knowledge, nursing satisfaction and incidence of complications during dialysis, with statistically significant differences (P<0.05). Conclusion The key intervention at different stages is helpful for patients to consciously adopt healthy behaviors when they are exposed to hemodialysis, improve treatment compliance, eliminate tension, anxiety and fear, reduce complications, and make a smooth transition from induction to maintenance dialysis. Key words: Induction period; Hemodialysis; Different stages; Key intervention; Application evaluation

A feasibility study of a cross-diagnostic, CBT-based psychological intervention for acute mental health inpatients: Results, challenges, and methodological implications.

Acute psychiatric inpatient wards are characterized by minimal provision of therapeutic activities and high readmission rates. Implementation of a comprehensive inpatient psychological intervention service has been recommended to overcome these problems; however, whether this is feasible or effective remains unclear. This non-randomized parallel cluster feasibility trial examined the feasibility of delivering and evaluating cross-diagnostic psychologically informed acute psychiatric care the Edinburgh-Acute Psychological Inpatient Therapy Service (EDAPTS) and gathered preliminary clinical outcome data. Patients able to consent and complete questionnaires were recruited from two adult acute wards (i.e., clusters) and received either EDAPTS plus TAU or TAU. Between October 2015 and October 2016, 96 inpatients were recruited. Findings suggested that there were good data completion rates for several clinical outcomes, that several EDAPTS components were successfully delivered, and that some initial effects appeared to favour the intervention, depending on outcome. However, difficulties relating to the recruitment process were also identified, as well as problems relating to adequate delivery of group therapies, participant engagement in some intervention components, and data completion at follow-up. These issues, and the feasibility of randomization and rater-blinding, have important implications for the design of future trials. Overall, this study provides an important insight into the challenges and complexities of developing and evaluating a comprehensive psychological intervention service in an acute psychiatric setting. Individual therapy sessions can be delivered in the acute environment. The EDAPTS intervention showed some promise on outcomes of distress and self-efficacy. Delivery of nurse-led groups was challenging and may need to be embedded into routine clinical practice to increase intervention and outcome reach. More parameters, for example, randomization at cluster level, should be tested before progressing to an adequately powered, single-blind, definitive cluster RCT.

Effects of comprehensive psychological nursing intervention for patients with nasopharyngeal carcinoma during radiotherapy

Objective To explore the effects of comprehensive psychological nursing intervention on patients with nasopharyngeal carcinoma during radiotherapy, so as to provide references for alleviating their physical and mental pain and to improve their quality of life. Methods From July 2016 to April 2017, a total of 124 cases of nasopharyngeal carcinoma patients treated by radiotherapy from a ClassⅢGrade A hospital were recruited in the research, of which 63 cases from July to December 2016 were assigned as control group and 61 cases from January to April 2017 were assigned as intervention group. Routine nursing care was provided in the control group. On the basis of the routine nursing, individual combined with group intervention was applied in the intervention group according to the psychological and behavioral interventions before and during radiotherapy. The nursing intervention lasted from the beginning of the first radiotherapy till the end of the therapy course in both groups. By the end of the therapy, all the patients were investigated with Distress Thermometer (DT) and the short Quality of Life Scale for Nasopharyngeal Carcinoma with 13 items (QOL-NPC13) . Results The scores of DT in the control group and the intervention group were (8.08±0.58) and (5.30±1.11) respectively, and the difference was statistically significant (t=19.316, P<0.001) . The scores of body function, psychological spirit, social relationship, toxic side effect and the quality of life of the intervention group were all higher than those of the control group, the differences were statistically significant (Z=-4.674, -7.894, -4.755, -4.842, -8.114; P<0.001) . Conclusions Comprehensive psychological nursing intervention is helpful to relieve the psychological pain and improve the quality of life in patients with nasopharyngeal carcinoma undergoing radiotherapy. Key words: Nasopharyngeal neoplasms; Radiotherapy; Psychological nursing

The influence of comprehensive psychological intervention on the immune function of patients with nasopharyngeal carcinoma

Objective To explore the influence of psychological intervention on the immune function of patients with nasopharyngeal carcinoma. Methods Forty nasopharyngeal carcinoma patients with concomitant radiochemotherapy were divided into intervention group and control group by random digits table method with 20 cases each. Among concomitant radiochemotherapy nasopharyngeal carcinoma patients, intervention group were treated with comprehensive psychological behavior, and control group received only concurrent radiotherapy and chemotherapy. Both groups were investigated by Self-rating Anxiety Scale(SAS) and Self-rating Depression Scale(SDS). Natural killer cells activity were measured by flow cytometry. Results There were no significantly difference in score of SDS and SAS between two confirmed groups (P>0.05). After treatment, the score of SDS and SAS in intervention group were (45.26±3.83), (42.57±3.75) points, which were significantly lower than those of control group (52.68±3.66), (51.16±3.62) points, the difference was statistically significant(t=6.264, 7.370, P>0.05). Meanwhile, natural killer cell activity between two groups showed no significantly difference (P>0.05). However, the activity of natural killer cells in intervention group was 26.96±9.01, which was higher than that of control group 22.84±7.19, there were statistically significant difference between two groups (t=2.120, P<0.05).There was a positive correlation between the value difference of SDS scores, SAS scores and natural killer cell activity between two groups (r=0.238, P=0.006; r=0.527, P=0.003). Conclusions Comprehensive psychological intervention can significantly not only improve the depression and anxiety of nasopharyngeal carcinoma patients, but also enhance the activity of natural killer cells, which help maintain the leukocyte level of patients. Key words: Nasopharyngeal neoplasms; Psychological intervention; Natural killer cells; Immune function

The efficacy of drugs combined with psychological intervention on the anxiety of coronary heart disease

Objective To observe the clinical effect of anti-anxiety drugs combined with psychological intervention on the merged depression and anxiety of patients undergoing elective percutaneous coronary intervention in coronary heart disease. Methods The patients with coronary heart disease who were hospitalized continuously in our department and accepted the appointed PCI for the first time with preoperative self-rating anxiety scale more than 50 points from January to December 2015 were selected.These patients were investigated by the self-made questionnaire and were randomly divided into three groups.68 patients in the Medicine Group were treated by the regular coronary drugs combined with the anti-anxiety drugs.73 patients of Psychological-intervention Group were treated with the comprehensive psychological intervention on the basis of the treatment of regular coronary drugs.77 patients were included in the Drug Plus Psychological-intervention Group and the regular coronary drugs, anti-anxiety drugs and psychological intervention were all conducted for the treatment of patients in this group. Three groups were treated for one month.The scores of SAS of the three groups before the operation, 1 week after treatment and 1 month after treatment was compared. Results Logistic regression analysis showed that the independent possible factors of depression and anxiety of coronary heart disease patients with the appointed PCI was younger than 45 years old, unmarried status(divorce included), yearly income less than twenty thousand yuan, illness duration longer than 3 years, need of being inserted more than three stents.There was no statistical significance in terms of the differences of SAS scores before operation among the three groups (P>0.05).1 week after treatment, the SAS scores of three groups were all lower than that before the operation(P 0.05).1 month after treatment, the SAS scores of three groups were all lower than that before the operation(P<0.05), and the results of the multiple comparison showed that there was no statistical significance in terms of the difference between Medicine Group and psychological-intervention Group.While there was statistical significance in terms of the difference between the Medicine-psychological-intervention Group and the other two groups(P<0.01) .The SAS scores of the Medicine-psychological-intervention Group was the lowest. Conclusion The independent possible factors of depression and anxiety of coronary heart disease patients with the appointed PCI is younger than 45 years old, unmarried status(divorce included), yearly income less than twenty thousand yuan, illness duration longer than 3 years, need of being inserted more than three stents.Anti-anxiety drugs combined with psychological intervention can improve the anxiety symptoms and obviously reduce the SAS scores with interventional treatment of coronary heart disease. Key words: Coronary heart disease; Percutaneous coronary intervention; Anxiety; Depression; Psychological treatment

The effect of a rehabilitation nursing intervention model on improving the comprehensive health status of patients with hand burns

Aims and objectivesTo observe the effect of a rehabilitation intervention on the comprehensive health status of patients with hand burns. BackgroundMost studies of hand-burn patients have focused on functional recovery. There have been no studies involving a biological–psychological–social rehabilitation model of hand-burn patients. DesignA randomized controlled design was used. MethodsPatients with hand burns were recruited to the study, and sixty patients participated. Participants were separated into two groups: (1) The rehabilitation intervention model group (n=30) completed the rehabilitation intervention model, which included the following measures: enhanced social support, intensive health education, comprehensive psychological intervention, and graded exercise. (2) The control group (n=30) completed routine treatment. Intervention lasted 5 weeks. Analysis of variance (ANOVA) and Student's t test were conducted. ResultsThe rehabilitation intervention group had significantly better scores than the control group for comprehensive health, physical function, psychological function, social function, and general health. The differences between the index scores of the two groups were statistically significant. ConclusionsThe rehabilitation intervention improved the comprehensive health status of patients with hand burns and has favorable clinical application. Relevance to clinical practiceThe comprehensive rehabilitation intervention model used here provides scientific guidance for medical staff aiming to improve the integrated health status of hand-burn patients and accelerate their recovery.What does this paper contribute to the wider global clinical community?1.This paper will provide a scientific guidance for medical staff aiming to help hand-burn patients recover more rapidly.2.This paper will contribute to knowledge regarding the formation of a multidisciplinary team to promote the comprehensive rehabilitation of burn patients.