Influence of cognitive behavior intervention on quality of life and prognosis of ACS patients with anxiety and depression

Objective To investigate the influence of cognitive behavior intervention on quality of life and prognosis of ACS patients with anxiety and depression. Methods Cognitive behavior intervention on ACS patients with anxiety and depression was started in January, 2016 in our hospital. We selected the patients before and after implementation of six months, and separately defined them as control group and experiment group; the SAS scores, SDS scores and SAQ scores before and after intervention, the incidence of adverse cardiovascular events and nursing satisfaction of both groups were compared. Results The SAS scores and SDS scores before intervention of control group were (51.46±4.87) points, (55.23±6.91) points separately. The SAS scores and SDS scores before intervention of experiment group were (52.07±4.93) points, (54.95±6.77) points separately. The SAS scores and SDS scores after intervention of control group were (45.43±3.67) points, (48.33±5.10) points separately. The SAS scores and SDS scores after intervention of experiment group were (40.08±2.43) points, (41.59±3.44) points separately. The SAS scores and SDS scores after intervention of experiment group were statistically significant lower than control group and before intervention (t=2.473, 2.911, 2.582, 3.172, all P<0.05). The SAQ scores before and after intervention of control group were (55.60±4.90) points, (71.17±6.08) points separately. The SAQ scores before and after intervention of experiment group were separately (54.18±4.65) points, (84.94±7.75) points. The SAQ scores after intervention of experiment group were statistically significant higher than control group and before intervention(t=2.762, 3.553, P<0.005, P<0.001). The incidence of adverse cardiovascular events of experiment group were significantly lower than that of the control group (χ²=8.232, 9.113, 8.062, all P<0.005). The nursing satisfaction of experiment group were statistically significant higher than control group (Z=-3.235,P<0.005). Conclusion Cognitive behavior intervention on ACS patients with anxiety and depression can effectively alleviate negative mood, improve the quality of daily life, reduce the risk of adverse cardiovascular events and be helpful to establish the harmonious relationship between doctors and patients.