老年高血压病并冠心病患者负性情绪评估及其综合干预  

Evaluation on the negative emotions of aged patient with coronary artery disease associated with hypertension and its synthesis intervention

作　　者：郭杰 崔月丽 孙少萍 

机构地区：[1]山东省青岛疗养院,山东青岛市266071

出　　处：《心血管康复医学杂志》2007年第3期215-217,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:评估老年高血压病并冠心病患者抑郁、焦虑负性情绪情况,并观察综合干预的效果。方法:对60例老年高血压病并冠心病患者采用Zung抑郁自评量表(SDS)及焦虑自评量表(SAS)分别在入院时进行评估,然后进行6周的药物、心理和物理疗法的综合康复干预,并再次进行评估。结果:老年高血压病并冠心病患者存在不同程度的抑郁及焦虑,经6周综合干预后,SDS及SAS评分分别由57.34±8.57和49.97±6.82降为47.38±6.59和41.45±5.38(P<0.01),抑郁、焦虑发生率分别由78.3%和86.7%降为40%和65%(P<0.001,<0.01)。结论:老年高血压病并冠心病患者抑郁及焦虑负性情绪发生率高,药物、心理及物理疗法综合干预疗效好。Objective： To evaluate the depressed and anxious condition of the aged patients with hypertension associated with coronary artery disease （CAD）, and observe the curative effect. Methods： The 60 cases with hypertension with CAD were examined by self-rating depression scale （SDS） and self-rating anxiety scale （SAS） after enter hospital, and all patients were treated with the medicines , psychosomatic rehab and physiotherapy for six weeks, and then evaluated again. Results： The all patients had different depressed and anxious, after six weeks treat the SDS and SAS from 57.34±8. 57 and 49.97±6.82 decreased to 47.38 ±6.59 and 41.45±5.38 respectively （P〈0.01）, The occurrence rates ol the depressed and anxious symptoms were from 78.3 % and 86.7 % to 40 % and 65 % respectively （P〈0. 001, 〈0. 01）. Conclusion： The occurrence rate of depressed and anxious of aged patients with hypertension and CAD is high. The synthesis treatment can obviously improve the depression and anxiety.

关 键 词：高血压病 冠状动脉疾病 抑郁 焦虑 

分 类 号：R541.409[医药卫生—心血管疾病]