2022 年第 8 期 第 17 卷

心理干预在冠心病患者心脏康复中的应用进展

Application progress of psychological intervention in cardiac rehabilitation of patients with coronary atherosclerotic heart disease

作者：樊楚黄觊

英文作者：Fan Chu Huang Ji

单位：首都医科大学附属北京安贞医院心内科十五病房，北京100029

英文单位：The 15th Ward Department of Cardiology Beijing Anzhen Hospital Capital Medical University Beijing 100029 China

关键词：冠心病（冠状动脉粥样硬化性心脏病）；心理干预；负性情绪；心脏康复

英文关键词：Coronaryatheroscleroticheartdisease;Psychologicalintervention;Negativeemotions;Cardiacrehabilitation

• 摘要：

• 心血管疾病是导致人类残疾和死亡的最重要病因，其中冠心病（冠状动脉粥样硬化性心脏病）威胁最大。伴随心脏康复在我国飞速发展，冠心病患者获益良多。情绪作为一种心理活动与病情的加重和缓解息息相关，对于冠心病患者而言，治疗期间的心理评估和干预是不可或缺的，由于对此认识不够深入，很多患者在康复期间出现情绪障碍，进而影响顺利康复。为提高医务人员以及患者等对心理干预的认识，本文将心理干预在冠心病患者心脏康复中的应用进展作一综述。 

• Cardiovascular diseases is an important cause of human disability and death, among which coronary atherosclerotic heart disease poses the greatest threat. Patients with coronary atherosclerotic heart disease have extracted benefit from the rapid development of cardiac rehabilitation in China. As a psychological activity, emotion is closely related to the condition of the disease. For this special group of patients, psychological assessment and intervention during treatment are indispensable. Due to lack of awareness of such intervention, many patients may have emotional disorders during the recovery, which in turn affects their recovery. In order to improve the awareness among both physicians and patients, this paper reviews the application of psychological intervention in cardiac rehabilitation of patients with coronary atherosclerotic heart disease. me-font: minor-fareast;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;mso-ansi-language:EN-US;mso-fareast-language: ZH-CN;mso-bidi-language:AR-SA'>s platelet count gradually increased. HIT is a rare adverse drug reaction in clinic. This paper reports the patient′s diagnostic and therapeutic process, so as to provide clinical references for HIT. t-family: "Times New Roman";mso-bidi-theme-font:minor-bidi;mso-ansi-language:EN-US; mso-fareast-language:ZH-CN;mso-bidi-language:AR-SA'>在临床上属于比较罕见的药物不良反应，本文报道该患者的诊疗经过，以期为临床提供参考。