心肌梗死患者综合性心理干预对照研究  

Control study of general psychological intervention for patients with myocardial infarction

作　　者：方润领[1] 蒋玉卉[1] 宋江山 程桂林 薛广新 

机构地区：[1]河南省精神病医院精神科,河南省新乡市453002 [2]新乡市人民医院内科,河南省新乡市453000 [3]新乡市第二人民医院内科,河南省新乡市453000

出　　处：《中国临床康复》2003年第9期1382-1383,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：目的观察心肌梗死患者焦虑、抑郁情绪的发生状态。探讨综合性心理干预在心肌梗死患者治疗过程中的作用。方法收治88例心肌梗死住院患者,将伴有焦虑、抑郁情绪的57例心肌梗死患者按设计方案分为干预组(27例)和对照组(30例)。对照组给予常规药物治疗,干预组在常规药物治疗基础上进行健康教育及心理干预,情绪障碍较重者服用适量抗焦虑、抗抑郁药物。干预前后用Zung抑郁自评量表(SDS)、焦虑自评量表(SAS)进行评定,对心功能进行测评。结果8周后,干预组较对照组患者SAS总分、SDS总分及抑郁指数均有显著降低(P<0.01～0.001);心功能分级及左室射血分数有显著改善(t=2.63,P<0.05)。结论综合性心理干预有助于改善心肌梗死患者焦虑、抑郁情绪,并且有助于患者心功能的恢复。Aim To study the application and clinical efficacy of general psychological intervention for patients with myocardial infarction. Methods 88 inpatients with myocardial infarction were randomly divided into study group (n=27) and control group (n=30). Patients in control group were given general medication. Patients in study group were given health education and psychological intervention as well as general medication. Sung's self rating depressive scale (SDS) and self rating anxiety scale (SAS) were conducted before and after intervention. Their cardiac functions were evaluated.Results The total scores of SAS,SDS and depressive index in study group were lower than those in control group( P< 0.01) .Cardiac Functional classification and left ventricle ejection fraction were improved significantly ( P< 0.05) . Conclusion Patients with myocardial infarction often have anxiety and depression. General psychological intervention for patients with myocardial infarction can improve their anxiety and depression, as well as cardiac function.<P>

关 键 词：心肌梗死 综合性心理干预 焦虑 抑郁 治疗 健康教育 心理疗法 

分 类 号：R542.22[医药卫生—心血管疾病] R749.055[医药卫生—内科学]