多维度协同护理对合并抑郁的中青年冠心病患者负性情绪及生活质量的影响  

Effect of Multidimensional collaborative care on negative emotions and quality of life in young and middle-aged coronary heart disease patients with depression

作　　者：屈献乐 冉君 徐旭[3] 马红梅[3] QU Xianle;RAN Jun;XU Xu(Health Management Center of People's Hospital of Wuhan University,Wuhan 430060,China)

机构地区：[1]武汉大学人民医院健康管理中心,武汉430060 [2]华中科技大学同济医学院附属同济医院肝脏外科 [3]武汉大学人民医院老年病科

出　　处：《国际精神病学杂志》2024年第5期1639-1641,1655,共4页Journal Of International Psychiatry

基　　金：湖北省重点实验室开放项目(编号:2021KFH014)。

摘　　要：目的 探讨多维度协同护理对中青年冠心病合并焦虑抑郁患者负性情绪及生活质量的影响。方法 本研究对象为武汉大学人民医院2019年4月~2021年4月85例冠心病合并抑郁患者,采用随机数字表法分为两组,对照组进行常规护理,观察组采用多维度协同护理。护理前后评价两组患者焦虑(SAS)、抑郁(SDS)自评量表以及慢性病患者生命质量测定量表-冠心病(QLICDCHD),检测左心射血分数(LVEF)。结果 护理后两组患者SAS评分、SDS评分均较护理前显著降低,且护理后观察组两项评分均显著低于对照组(P<0.05);护理后两组患者QLICD-CHD评分、LVEF均较护理前显著增加,且护理后观察组两项指标均显著高于对照组(P<0.05)。结论 多维度协同护理能够降低中青年冠心病合并抑郁患者负性情绪,提升心脏功能以及生活质量。Objective To investigate the effects of multidimensional collaborative care on negative emotions and quality of life in young and middle-aged patients with coronary heart disease with depression.Methods Eighty-five patients with coronary heart disease with depression from April 2019 to April 2021 in the People's Hospital of Wuhan University were the subjects of this study.The random number table method was used to divide them into two groups.The control group underwent conventional care,and the observation group used multidimensional synergistic care.The anxiety(SAS)and depression(SDS)self-rating scales and the Quality-of-Life Measurement Scale for Patients with Chronic Diseases-coronary heart disease(QLICD-CHD)were evaluated before and after care in both groups.Left heart ejection fraction(LVEF)was measured.Results SAS scores and SDS scores were significantly lower in both groups after care than before care,and both scores were significantly lower in the observation group than in the control group after care(P<0.05).The QLICD-CHD score and LVEF increased significantly in both groups after care compared with those before care,and both scores were significantly higher in the observation group than in the control group after care(P<0.05).Conclusion Multidimensional collaborative care can reduce negative emotions such as anxiety and depression in young and middle-aged patients with coronary heart disease and improve cardiac function as well as related quality of life.

关 键 词：多维度协同护理 中青年 冠心病合并抑郁 负性情绪 生活质量 

分 类 号：R740.05[医药卫生—神经病学与精神病学]