心理干预对冠心病慢性心力衰竭伴焦虑抑郁患者的疗效观察  

Efficacy of psychotherapy on chronic heart failure with anxiety and depression in patients with coronary heart disease

作　　者：梁艺[1] 张景昌[1] 黄学成[1] 郭筱燕[1] 刘洋[1] 钟继明[1] 刘婉莹[1] 

机构地区：[1]广西医科大学第三附属医院暨南宁市第二人民医院心内科,南宁市530031

出　　处：《广西医学》2017年第1期58-60,共3页Guangxi Medical Journal

基　　金：广西科学研究与技术开发计划(桂科攻1355005-4-1)

摘　　要：目的探讨心理干预对伴有焦虑、抑郁的冠心病慢性心力衰竭患者疗效。方法 200例伴有焦虑、抑郁的冠心病慢性心力衰竭患者按随机数字表法分为干预组100例和对照组100例。对照组给予常规抗心力衰竭治疗+抗焦虑、抑郁药物治疗,干预组在对照组的基础上给予心理干预治疗。两组均治疗4周。比较两组患者治疗前后Zung氏焦虑自评量表(SAS)和抑郁自评量表(SDS)评分、左室射血分数(LVEF),评估心功能疗效。结果两组患者治疗前SAS、SDS评分比较,差异无统计学意义(P>0.05),治疗后均明显低于治疗前(P<0.05);且干预组均明显低于对照组(P<0.05)。两组患者治疗前LVEF比较,差异无统计学意义(P>0.05),治疗后均明显高于治疗前(P<0.05),且干预组明显高于对照组(P<0.05),治疗后干预组心功能疗效明显优于对照组(P<0.05)。结论心理干预治疗能改善冠心病慢性心力衰竭患者的焦虑、抑郁状态及心功能情况,提高其生活质量。Objective To investigate efficacy of psychotherapy on chronic heart failure with anxiety and depression in patients with coronary heart disease. Methods A total of 200 cases were divided into intervention group or control group by random digits table, with 100 cases in each group. The control group was given conventional heart failure treatment, antidepressant, and anxiolytie medication treatment, on this bases, the intervention group received psychological intervention treatment. The treatment lasted for 4 weeks. Score of Self-Rating Anxiety Scale （SAS） , score of Self-Rating Depression Scale（SDS） ,left ventrlcular ejection fraction（LEVF） , and curative effect were compared between the two groups before and after treatment. Results There was no statistically significant difference between the two groups in SAS or SDS scores before treatment （ P 〉 0.05 ）, but both score decreased in each group after treatment （ P 〈 0.05 ） , and the decreases were more obvious in intervention group than in the control group after treatment （P 〈 0. 05 ）. There was no statistically significant difference between the two groups in LEVF before treatment（P 〉 0.05）,but it significantly increased after treatment in each group （P 〈 0.05 ）, and the increase was more obvious in intervention group than in the control group（ P 〈 0.05 ）. The curative effect of intervention group was superior to that of control group （ P 〈 0.05 ）. Conclusion Psychotherapy can improve the anxiety, depression state and cardiac function, thus enhance the quality of life in. patients with chronic heart disease.

关 键 词：冠心病 心力衰竭 焦虑 抑郁 心理干预 

分 类 号：R541.4[医药卫生—心血管疾病]