“双心”护理对冠心病PCI术后合并抑郁症的影响  

The effect of "Psycho-cardiology" Care on Patients with Depression after PCI

作　　者：陈志红[1] 喻正科[1] 谭媛平[1] 刘勇[1] 廖金剑[1] 朱筱婧[1] 

机构地区：[1]湖南省中医药研究院附属医院,湖南长沙410006

出　　处：《中医药导报》2015年第19期84-87,共4页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：湖南省中医药管理局项目资助(编号:2014139)

摘　　要：目的:探讨以多学科合作的形式,利用"双心"护理对冠心病PCI术后合并抑郁症患者干预的影响。方法:将92例冠心病PCI术后合并抑郁症患者,随机分为两组:"双心"护理组(治疗组,47例)和常规护理组(对照组,45例),对照组采用心内科常规治疗及中医辨证治疗和常规护理及健康指导,治疗组在此基础上给予心理干预配合中医辨证施护等"双心"护理干预措施。于干预前及干预后6个月采用冠心病临床证候、心电图,汉密尔顿抑郁量表(HAMD)等指标,分别评估两组患者的临床护理疗效,应用西雅图心绞痛调查量表(SAQ)测评其生活质量,比较两组干预效果。结果:干预6个月后,治疗组总有效率91.5%,对照组总有效率68.9%,两组总有效率比较,差异有统计学意义(P<0.05);治疗组HAMD评分和生活质量各维度得分与对照组比较,差异有统计学意义(P<0.01)。结论:"双心"护理可明显提高冠心病PCI术后合并抑郁症患者的临床护理疗效,促进其心血管和心理双健康,提高生活质量。Objective： To explore the effect of ＂psyeho-cardiology＂care for patients with coronary heart disease（CHD） and depression after PCI, with an interdisciplinary team approach.Methods： The 92 cases with CHD and depression after PCI were divided into two groups randomly, the ＂psycho-cardiology＂ care group （treatment group, n=g7） and the routine care group （control group, n=45）. Patients were given routine treatment, dialectical treatment by TCM, routine care and health guidance in control group; and patients in treatment group were given intervention of ＂psycho-cardiology＂ care on the basis of treatment and care of control group.Tests were done after six mouths and changes of scores of the two groups before and after intervenetion were statistically analyzed. Clinical syndromes of coronary heart disease, electrocardiogram and Hamilton depression rating scale （HAMD） were applied to evaluate the clinical efficacy of clinical nursing. Assess patients＇quality of life by seattle angina questionair （SAQ） was compared between two groups. Result： The effective rate was 91.5% in the treatment group and 68.9% in the control group.The difference showed significant statistical significance（P〈0.05）.The comparison on HAMD and cores of quality of life between treatment and control groups showed significant difference after intervention（P〈0.01）. Conclusion： ＂Psycho-cardiolo- gy＂ care can improve the efficacy of clinical nursing for depression after PCI due to CHD, and solve psychological problems of patients, and improve to patients＇ quality of life.

关 键 词：冠心病 经皮冠状动脉介入治疗 抑郁症 “双心”护理 

分 类 号：R248[医药卫生—中医临床基础]