对永久起搏器植入患者焦虑抑郁的干预研究  

Intervention study on anxiety and depression of patients with permanent pacemaker implanted

作　　者：雷大洲[1] 王津生[1] 王岩[1] 周凡[1] 李世勋[1] 

机构地区：[1]新乡市中心医院心内二科,河南新乡453000

出　　处：《江苏实用心电学杂志》2014年第2期121-122,126,共3页Journal of Practical Electrocardiology JS

摘　　要：目的研究植入永久心脏起搏器术后患者的焦虑与情绪反应及其进行心理教育和药物干预的效果。方法选取58例经静脉植入心脏起搏器的患者,并且其焦虑及抑郁指数≥50%;按照随机数表法分成干预组和对照组各29例。干预组在药物治疗基础上予以心理护理干预,对照组采用单纯药物治疗。结果治疗前对照组和干预组SAS、SDS评分比较,差异均无统计学意义(P>0.05)。干预组治疗后较对照组的SAS、SDS评分降低,且差异均有统计学意义(P<0.05)。结论对植入永久起搏器合并焦虑与抑郁的患者进行心理护理及药物干预,较单纯药物治疗的效果更为显著。Objective Toinvestigatetheanxietyandemotionalresponseofpatientsafterper-manent pacemakers were implanted as well as to explore the corresponding effects of psychagogia and drugintervention.Methods Fifty-eightpatientsimplantedwithtransvenouspacemakerswereen-rolled in the study whose indices of anxiety and depression were all ≥50% and they were divided into intervention group and control group by random number table,with each group 29 cases.The intervention group was given intervention of psychological nursing besides drug treatments while the controlgroupwastreatedonlybymedication.Results Beforetreatment,thedifferencesofSASand SDS scores between intervention group and control group weren＇t statistically significant either（P〉0.05）.And yet after treatement,compared with the control group,SAS and SDS scores of interven-tion group decreased and the differences were both statistically significant（P〈0.05）.Conclusion Comparedwithpuredrugtreatment,itprovestobemoreeffectivetogivepsychologicalnursingcom-plicating drug intervention for patients with permanent pacemaker implanted who were complicated by anxiety and depression.

关 键 词：永久起搏器 抑郁症 焦虑 干预治疗 

分 类 号：R54[医药卫生—心血管疾病]