心内科处理心理障碍患者治疗方案的可行性分析  

Analyze the Fisibility of Treating Patients with Mental Disorder in Cardiovascular Department

作　　者：丁荣晶[1] 王桂莲[1] 傅媛媛[1] 胡大一[1] 

机构地区：[1]北京大学人民医院心脏中心,北京100044

出　　处：《医学与哲学（B）》2009年第6期73-74,78,共3页Medicine & Philosophy(B)

摘　　要：为了探讨在心内科治疗心理障碍患者的可行性,我们应用汉密尔顿量表评估400例到心内科就诊的患者,对诊断为焦虑或抑郁状态的患者分为两组(心内科干预组,心理科治疗组),随访半年,观察焦虑或抑郁状态的缓解情况。结果显示,本研究共入选符合心理障碍诊断者71例,占就诊人数的17.75%。到心理科治疗患者30例,在心内科门诊治疗患者41例,半年随访评估,治疗有效率分别为16.7%和79.4%(16.7%vs 79.4%,P<0.05)。因此,在心内科门诊对就诊的心理障碍患者进行治疗,是一种可行的方案。To investigate the risibility of treating patients with mental disorder in cardiovascular department, 400 patients were evaluated mental health with Hamilton rating scale in cardiovascular department. The patients who were diagnosed mental disorder based on Hamilton rating scale and phycological symptom were divided into 2 groups, one treated in cardiovascular department（group 1）, the others advised them go to phycological department（group 2）. 71 out of 400 patients recruited in this study were diagnosed mental disorder, 41 patients included in group1 and 30 patients in group 2. The total efficiency rate in group 1 is 79.4 %, much higher than that in goup2, which is only 16.7 %. Therefore,it is an risible project that cardiologists themselves treat patients with mental disorder in cardiovascular department

关 键 词：心内门诊 心理障碍 心理干预 

分 类 号：R541[医药卫生—心血管疾病]