综合性心理干预对冠心病介入治疗患者抑郁焦虑及生活质量的影响  

Effect of Comprehensive Psychological Intervention on Depression and Anxiety and Life Quality of Interventional Therapy Patients with Coronary Heart Disease

作　　者：杨静[1] 邢攸红[1] 杨玉[1] 冯碧芳 赵鑫[1] 

机构地区：[1]解放军总医院心血管内科三病区,北京100853

出　　处：《现代生物医学进展》2016年第10期1949-1951,1918,共4页Progress in Modern Biomedicine

摘　　要：目的：探究综合性心理干预对冠心病介入治疗患者焦虑、抑郁及生活质量的影响。方法：选择2014年6月-2015年6月期间我院收治冠心病性介入治疗患者3280例为研究对象,采用随机数字法将其分为观察组（1648例）和对照组（1632例）,观察组患者给予常规治疗、抗抑郁治疗及综合心理干预,对照组给予常规治疗、抗抑郁治疗;采用焦虑自评量表（SAS）、抑郁自评量表（SDS）评价患者治疗前后焦虑、抑郁状态,生活质量评价量表QLQ-C30量表评价患者治疗前后生活质量的变化情况。结果：两组患者在入院时SAS和SDS得分不存在差异（P〉0.05）;干预1月后两组组患者的SAS和SDS得分均出现显著降低（P〈0.05）,且观察组患者的SAS和SDS评分均明显低于对照组（P〈0.05）;干预前两组患者生存质量各维度的评分均不存在显著差异（P〉0.05）;干预1个月后两组患者躯体功能、角色功能、社会功能、情绪功能及总体症状较干预前均出现明显改善（P〈0.05）,且干预后观察组患者躯体功能、角色功能、社会功能、情绪功能及总体症状均显著优于对照组（P〈0.05）。结论：冠心病介入治疗患者进行综合性心理干预能够改善患者心理状态,降低患者焦虑、抑郁情绪,提高生活质量,对临床冠心病的治疗有重要的意义。Objective： To explore the effect of comprehensive psychological intervention on depression and anxiety and life quality of interventional therapy patients with coronary heart disease. Methods： 3280 cases of patients with coronary heart disease in our hospital during the period from June 2014 to June 2015 were selected as the research object, which were divided into observation group（1648 patients） and control group（1638 patients） by random number table method; Patients in observation group were treated with conventional therapy, antidepressant treatment and comprehensive psychological intervention and patients in control group were treated with conventional therapy, antidepressant treatment; Self rating Anxiety Scale（SAS） and self rating depression Scale（SDS） were used to evaluate the anxiety and depression status of patients before and after treatment; quality of life rating scale（QLQ-C300） were used to evaluate the quality of life of the patients before and after treatment. Results： The scores of SDS and SAS between two groups had no significant differences before treatment（P〉0.05）; The scores of SAS and SDS were significant declined after 1 month intervention in both two groups, and patients in observation group were significantly lower than those in the control group（P〈0.05）; There was no significant difference in the quality of life of the two groups before the intervention（P〉0.05）; The body function, role function, social function,emotional function, and general symptoms of the patients were significantly improved after 1 months of intervention（P〈0.05）, and patients in observation group were significantly better than those in the control group（P〈0.05）. Conclusion： Comprehensive psychological intervention is able to improve the psychological status of patients with coronary heart disease, reduce the anxiety and depression,improve the quality of life, which is important for clinical treatment of coronary heart disease.

关 键 词：心理干预 冠心病 介入治疗 抑郁 焦虑 生活质量 

分 类 号：R541.4[医药卫生—心血管疾病] R47[医药卫生—内科学]