抗焦虑抑郁治疗对合并心理障碍的老年心力衰竭病人治疗依从性及预后的影响  

Effect of anti-anxiety-depression therapy on the treatment compliance and prognosis in elderly patients with heart failure complicated with psychological disorders

作　　者：唐光军 唐光美 付云 高建民 TANG Guang-jun, TANG Guang- mei, FU Yun, GAO Jian-min.(Department of Cardiology, Taishan Coal Sanatorium of Shandong Province, Taian 271000, Chin)

机构地区：[1]山东省煤炭泰山疗养院心内科,山东省泰安市271000

出　　处：《实用老年医学》2018年第7期646-648,共3页Practical Geriatrics

摘　　要：目的观察抗焦虑抑郁治疗对合并心理障碍的老年心力衰竭病人治疗依从性及预后的影响。方法将120例伴有焦虑抑郁症状的老年心力衰竭病人随机分为观察组(n=60)和对照组(n=60),对照组给予常规抗心力衰竭治疗,观察组在常规抗心力衰竭治疗的基础上进行抗焦虑抑郁治疗。于治疗前及治疗3个月、6个月后,分别采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评估2组病人的心理状态;随访6个月后对2组病人治疗的依从性和预后进行评价。结果治疗3个月、6个月后,观察组的SAS评分和SDS评分均明显低于治疗前及对照组(P<0.05);随访6个月发现,观察组的治疗依从率明显高于对照组(P<0.05),且观察组的左心射血分数(LVEF)下降率、心功能分级恶化率、再次入院率及死亡率均明显低于对照组(P<0.05)。结论对合并心理障碍的老年心力衰竭病人进行抗焦虑抑郁治疗可有效改善其心理状态,提高治疗依从性,并改善预后。Objective To observe the effect of anti-anxiety-depression therapy on the treatment compliance and prognosis of the elderly patients with heart failure complicated with psychological disorders. Methods A total of 120 elderly patients with heart failure complicated with anxiety and depression were randomly divided into observation group（n = 60） and control group（n = 60）. Patients in the control group received routine anti-heart failure treatment. While patients in the observation group received anti-anxiety-depression treatment on the basis of routine anti-heart failure treatment. The psychological status of the two groups were assessed by self-rating anxiety scale（SAS） and self-rating depressive scale（SDS） before and 3,6 months after the treatment. After 6 months＇ follow-up,the treatment compliance and prognosis of the two groups were evaluated. Results The SAS score and SDS score of the observation group 3 months and 6 months after treatment were significantly lower than those before treatment and those of the control group after treatment（P〈0. 05）. The treatment compliance rate of the observation group was significantly higher than that of the control group（P〈 0. 05）. And the decrease rate of left ventricular ejection fraction（LVEF）, deterioration rate of cardiac functional grading,readmission rate and mortality rate in the observation group were significantly lower than those in the control group（P〈0. 05）. Conclusions For the elderly patients with heart failure complicated with psychological disorder,anti-anxiety-depression therapy can effectively improve the psychological status,treatment compliance and prognosis.

关 键 词：心力衰竭 焦虑 抑郁 依从性 预后 老年人 

分 类 号：R541.6[医药卫生—心血管疾病]