不稳定型心绞痛高龄患者负性心理调查及护理  

The psychological health investigation and nursing of the patients with unstable angina pectoris

作　　者：于建辉[1] 陈敏芝[1] 刘静[1] 

机构地区：[1]解放军总医院心血管二科,北京100853

出　　处：《中国临床保健杂志》2011年第5期535-536,共2页Chinese Journal of Clinical Healthcare

摘　　要：目的探讨不稳定型心绞痛(UA)患者的心理状况,为临床心理康复提供客观依据。方法采用焦虑自评量表(SAS)、抑郁自评量表(SDS)和A型行为问卷,对63例住院不稳定型心绞痛患者进行调查。结果不稳定型心绞痛患者SAS标准分>38分46例,焦虑发生率37%;SDS标准分≥43分28例,抑郁发生率43%;A型行为评分28～50分52例,A型行为占89%。不稳定型心绞痛与急性心肌梗死患者比较发生抑郁的人数显著增多(t=2.936,P<0.01),但两者出现焦虑情绪差异无统计学意义(t=1.045,P>0.05)。结论不稳定型心绞痛患者常出现焦虑、抑郁情绪,临床在治疗基础疾病的同时应积极采取心理康复措施。Objective To study the psychological health of the patients with unstable angina pectoris and provide the some basis for clinical psychological therapy. Methods Self rating anxiety scale （ SAS）, self-rating depression scale （SDS） and type A behavior were employed to investigate the 63 cases of coronary heart disease patients. Results Among the patients of unstable angina pectoris of coronary heart disease, there were 46 patients whose SAS standard points were more than 38. The incidence of anxiety was 37%. And there were 28 patients whose SDS stand- ard points were more than 43. The incidence of depression was 43%. There were 52 patients whose type A behavior points were 28 ~50. They accounted for 89%. The number of those suffering from depression was larger in unstable angina peetoris than that in acute myocardial infarction（ t = 2.936 ,P 〈 0.01 ） ,but there was no significantly difference in anxiety between these two group s （ t = 1. 045,P 〉 0.05 ）. Conclusion The patients who suffer from unstable angina pectoris often have anxiety and depression mood, we should give them active psychological rehabitation beyond based diseases intervention.

关 键 词：心绞痛 不稳定型 焦虑 抑郁 心理护理 

分 类 号：R473.5[医药卫生—护理学]