Shahmansouri Nazilla, Janghorbani Mohsen, Salehi Omran Abbas, Karimi Abbas Ali, Noorbala Ahmad Ali, Arjmandi Akram, Nikfam Sepideh
a Tehran Heart Center , Tehran University of Medical Sciences , Tehran , Iran.
Psychol Health Med. 2014;19(4):375-83. doi: 10.1080/13548506.2013.841966. Epub 2013 Oct 1.
The aim of this study was to examine the impact of a brief psychoeducation group intervention on fear and anxiety in patients undergoing the coronary artery bypass grafting (CABG). Sixty consecutive patients undergoing CABG for the first time were recruited for a clinical trial and randomized into two groups. The control group received routine care. The study group received a brief psychoeducation group intervention combined with routine care. The psychoeducation session consisted of a discussion of fear and anxiety in a psychotherapeutic atmosphere and relaxation techniques. Fear was scored with the Bypass Grafting Fear Scale (BGFS) and anxiety was scored with the Spielberger State Inventory (STAI) Questionnaire. The BGFS and the STAI were given to the patients the day after hospital admission and a day before the operation to measure fear and anxiety. Fear scores decreased in the psychoeducation group. Of the 29 patients treated with psychoeducation, the mean (SD) fear score decreased from 4.6 (1.7) at baseline to 2.8 (1.2) before the operation (p < .001). In the 31 patients who received routine care, there was a nonsignificant trend from 3.7 (1.9) to 4.1 (2.1) (p > .05). The mean difference in fear score before the operation was significantly lower in the psychoeducation group than the routine care group (mean difference -1.3; 95% CI, -2.1, -.2; p < .05). There were no differences in anxiety scores before the operation between the psychoeducation and routine care groups. In patients undergoing CABG, adding psychoeducation to routine care had a significant positive effect on fear but not on anxiety scores. A larger study of psychoeducation in these patients is warranted to assess the efficacy of this intervention in greater detail.
本研究旨在探讨简短的心理教育团体干预对冠状动脉搭桥术（CABG）患者恐惧和焦虑的影响。连续招募60例首次接受CABG的患者进行一项临床试验，并随机分为两组。对照组接受常规护理。研究组接受简短的心理教育团体干预并结合常规护理。心理教育课程包括在心理治疗氛围中讨论恐惧和焦虑以及放松技巧。使用冠状动脉搭桥恐惧量表（BGFS）对恐惧进行评分，使用斯皮尔伯格状态量表（STAI）问卷对焦虑进行评分。在患者入院后第二天和手术前一天对其进行BGFS和STAI评估，以测量恐惧和焦虑。心理教育组的恐惧评分降低。在接受心理教育治疗的29例患者中，平均（标准差）恐惧评分从基线时的4.6（1.7）降至手术前的2.8（1.2）（p <.001）。在接受常规护理的31例患者中，评分从3.7（1.9）到4.1（2.1）有不显著的变化趋势（p >.05）。心理教育组手术前恐惧评分的平均差异显著低于常规护理组（平均差异-1.3；95%可信区间，-2.1，-.2；p <.05）。心理教育组和常规护理组手术前焦虑评分没有差异。对于接受CABG的患者，在常规护理基础上增加心理教育对恐惧有显著的积极影响，但对焦虑评分没有影响。有必要对这些患者进行更大规模的心理教育研究，以更详细地评估这种干预措施的疗效。
