起搏器植入术后患者抑郁和焦虑的发生和干预  

The Investigation on the Intervention of Psychological Conditions in Patients with Cardiac Pacemaker Implanted

作　　者：周军[1] 杨敏全[1] 俞晓雯[1] 郭华[1] 施莉琼[1] 张小忆[1] 

机构地区：[1]上海交通大学医学院第三人民医院心内科,上海201900

出　　处：《医学临床研究》2007年第7期1057-1059,共3页Journal of Clinical Research

摘　　要：【目的】了解植入心脏起搏器术后一年以内和一年以后患者的心理特点及其进行健康教育的干预效果。【方法】患者60例,均经静脉植入心脏起搏器,时间超过3个月。其中一年以内的患者24例,一年以后且经过健康教育干预的患者36例。在术后随访过程中要求患者填写完成医院焦虑抑郁量表。对照组为门诊体格检查的健康人30例。【结果】起搏组患者抑郁、焦虑等心理症状得分高于对照组(P<0.05)。起搏组一年以内的患者的抑郁、焦虑等心理症状得分高于一年以后且经过健康教育干预的患者(P<0.05)。【结论】与正常人比较植入心脏起搏器患者的平均心理健康水平较低。健康教育干预有利于术后患者心理健康恢复。在随访过程中,应重视患者的心理问题,并进行针对性的心理干预。[Objective]To investigate the psychological condition of patients with cardiac pacemaker implanted,and to analyze their characters and interventions.[Methods]Sixty patients with cardiac pacemaker implanted more than 3 months after operation were enrolled into this study including 24 patients within 1 year and 36 patients after 1 year with pacemaker.A control group consisted of 30 healthy persons whose age,sex and education matched were set up.[Results]The grades of depression,anxiety in patients with pacemaker implanted within 1 year were higher than those intervened by healthy education after 1 year（P〈0.05）.[Conclusion]Patients with cardiac pacemaker have some psychological problems such as depression and anxiety.Their psychological conditions are worse than normal.

关 键 词：起搏器 人工 抑郁症 焦虑 

分 类 号：R454[医药卫生—治疗学]