心理干预对心肌梗死后抑郁患者的影响  

The impact of psychological intervention in depressed patients after myocardial infarction

作　　者：秦艳玲[1] 巩越丽[1] 李会丹[1] 袁梅[1] 吴超[1] 

机构地区：[1]吉林省四平市中心人民医院护理部,136000

出　　处：《中国实用医药》2012年第13期190-191,共2页China Practical Medicine

摘　　要：目的探究心理干预在救治心肌梗死中的临床的意义。方法 120例伴有抑郁情绪的心肌梗死患者,随机分为干预组(n=80)与对照组(n=40),对照组给予常规药物治疗,干预组在常规药物治疗之上加以理干预。结果 2个月后,干预组与对照组相比SDS评分、HRSD显著低于对照组(P<0.01),抑郁指数明显下降(P<0.05),躯体症状明显缓解(P<0.05),心律失常、病死率及住院天数显著减少(P<0.01),心功能明显好转(P<0.05)。结论心理干预不仅可以改善心肌梗死患者的抑郁情绪,而且有利于患者躯体症状的改善。Objective To explore the psychological intervention in the treatment of myocardial infarc- tion in clinical significance. Methods 120 patients with depression in patients with myocardial infarction were randomly divided into intervention group （ n = 80） with the control group （ n = 40） , the control group received conventional drug therapy, the intervention group to be on top of the conventional drug therapy management in- tervention. Results two months after the intervention group compared with the control group, the SDS score, HRSD was significantly lower than the control group （P 〈 0. 01 ） , depression score decreased significantly （P 〈 0. 05 ） , somatization and symptom relief （ P 〈 0. 05 ） , heart rate disorders, mortality and hospital days, a signif- icant reduction （ P 〈 0. 01 ）, heart function significantly improved （ P 〈 0. 05 ）. Conclusion Psychological in- terventions can improve the myocardial infarction in patients with depression, but also conducive to the improve- ment of patients with somatic symptoms.

关 键 词：心肌梗死 心理干预 抑郁情绪 

分 类 号：R473.5[医药卫生—护理学]