心理干预对老年冠心病伴焦虑抑郁患者的效果观察  

Observation about effects of psychological intervention on elder patients with coronary heart disease when combined with depression and anxiet

作　　者：洪荣梅[1] 陈冬梅[1] 梁兰霞[1] 骆成珠[1] 

机构地区：[1]广东医学院附属医院老年病科,湛江524001

出　　处：《中国实用护理杂志（下旬版）》2010年第1期51-52,共2页Chinese Journal of Practical Nursing

摘　　要：目的探讨心理干预对老年冠心病伴焦虑抑郁患者的治疗效果。方法将73例老年冠心病伴焦虑抑郁的住院患者随机分为单纯药物治疗组（对照组）35例和心理干预结合药物治疗组（心理干预组）38例。分别接受单纯药物治疗和药物治疗基础之上的心理干预。2组患者在治疗前和治疗3周后均接受SDS、SAS量表的评分，在出院时进行住院时间及临床疗效总体评估。结果心理干预组与对照组SAS、SDS首次评定结果比较无显著差异，3周后再次评定，心理干预组的SAS、SDS评分显著低于对照组。心理干预组住院时间显著短于对照组；心理干预组临床疗效总体评价优于对照组。结论心理干预对老年冠心病伴焦虑抑郁患者有很好的治疗效果。Objective To know the effects of psychological intervention on elder patients with coronary heart disease when combined with depression and anxiety. Methods Divided 73 elder patients with coronary heart disease into the control group（35 cases） and the psychological intervention group（38 cases） randomly. Routine treatment and nursing cares were used in the control group, while the psychological intervention group was used in the psychological intervention group in addition. Evaluated the mental status between the two groups by SAS and SDS at the beginning of the research and three weeks later. Time in hospital and general clinical medical effects were analyzed in the end of research. Results There were no significant difference between the two groups about SAS and SDS scores at the beginning, while the later scores in the control group were significant higher than those of in the psychological intervention group. The period in hospital in the control group was longer than in the intervention group, the general medical effects was bet-ter in the intervention group than in the control group. Conclusions Psychological intervention for elder patients with coronary heart disease when combined with depression and anxiety is a kind of ef- fective mode, which can improve the medical effects.

关 键 词：心理干预 冠心病 抑郁 焦虑 老年人 

分 类 号：R541.4[医药卫生—心血管疾病] R395.6[医药卫生—内科学]