综合性心理干预对老年冠心病患者负性情绪和生活质量的影响  

Effect of Comprehensive Psychological Intervention on the Negative Emotions and Quality of Life in Elderly Patients with Coronary Heart Disease

作　　者：李良娥[1] 秦俭[1] 许晓琼[2] 

机构地区：[1]湖南省中医药研究院附属医院三病室,湖南长沙410006 [2]中国人民解放军第163医院,湖南长沙410003

出　　处：《医学临床研究》2011年第7期1332-1334,共3页Journal of Clinical Research

基　　金：湖南省卫生厅2010年度科研计划项目（C2010-015）

摘　　要：【目的】探讨综合心理干预对老年冠心病患者负性情绪及生活质量的影响。【方法】80例老年冠心病患者随机分为干预组和对照组各40例。对照组采取常规护理；干预组在常规护理的基础上，进行综合心理干预。采用焦虑自评量表（SAS）、抑郁自评量表（SDS）和西雅图心绞痛量表（SAQ）及明尼苏达心力衰竭生活质量调查表（LiHFe）分别于入院时和干预1个月后对两组患者进行评分。【结果】两组患者入院时SDS、SAS评分比较差异无统计学意义（P〉0．05），干预组SDS、SAS评分显著低于干预前和对照组（P〈0．01），1个月后干预组SAQ量表中所有分值显著增加，LiHFe量表中所有分值显著减少，与干预前和对照组相比有明显差异（P〈0．01）。【结论】综合性心理干预能够改善老年冠心痛患者的焦虑、抑郁情绪，提高生活质量。[Objective] To explore the effect of comprehensive psychological intervention on the negative emotions and quality of life in elderly patients with coronary heart disease. [Methods] A total of 80 elderly patients with coronary heart disease were randomly divided into two groups with 40 in each. The control group was given the routine care, while the intervention group was given the comprehensive psychological intervention and health education based on the routine care. The self-rating anxiety scale （SAS）, self-rating depression scale （SDS） and Seattle angina pectoris questionnaire （SAQ） and Minnesota questionnaire of quality of life of heart failure（LiHFe） were carried out on admission and a month after intervention. [Results] There were no significant differences in the scores of SDS and SAS on admission between two groups（ P 〉0.05）, while the scores of SDS and SAS in intervention group a month after intervention were significantly lower than those in intervention group before intervention and in the control group（ P 〈0.01）. All of the scores of SAQ scale a month after intervention in the intervention group increased, while all of the scores of LiHFe decreased, and there were significant differences between intervention group before intervention and control group （P 〈 0. 01 ）. [Conclusion] Comprehensive psychological intervention can improve anxiety and depress emotion of elderly patients with coronary heart disease, and increase the quality of life of the patients.

关 键 词：冠状动脉疾病/心理学 生活质量 

分 类 号：R543.3[医药卫生—心血管疾病]