心理疏导干预对老年冠心病患者合并焦虑抑郁的影响

目的探讨心理疏导干预对老年冠心病患者合并焦虑抑郁的影响。方法选择2010年11月—2012年11月符合冠心病诊断标准的患者100例,所有患者均合并有不同程度的焦虑抑郁心理状态,随机分为心理疏导干预组(观察组)和单纯药物干预组(对照组)各50例,采用焦虑自评量表(self-rating anxiety scale,SAS)和抑郁自评量表(self-rating depression scale,SDS)对两组患者的心理状态进行评价。计量资料采用t检验,P<0.05为差异有统计学意义。结果观察组干预前SAS、SDS评分分别为(53.8±4.1)、(57.2±4.5)分,干预后分别为(41.7±3.4)、(35.6±3.0)分;对照组SAS、SDS评分分别为(54.4±4.3)、(56.8±4.6)分,干预后分别为(47.9±3.7)、(45.2±3.5)分,两组患者干预后SDS和SAS评分均较干预前有显著降低,差异有统计学意义(P<0.05),观察组患者干预后心理状态改善情况显著优于对照组患者,组间差异有统计学意义(P<0.05)。结论通过心理指导和必要的药物干预,老年冠心病患者的焦虑抑郁等精神方面的不良反应有明显好转,对提高冠心病患者的生活质量有重要意义。

Psychological interventions for coronary heart disease with anxiety and depression in the elderly

Objective To analyze the influence of psychological interventions on coronary heart disease（CHD） with anxiety and depression in the elderly.Methods A total of 100 patients with CHD were selected from November 2010 to November 2012,who met the inclusion criteria and had different degrees of anxiety and depression.They were randomly divided into psychological intervention group（observation group）and simple drug intervention group（control group）,50 cases for each group.Self rating scale（SAS）and self rating scale（SDS）were used to evaluate the mental state in both groups.Measurement data were processed with t-test,the result of P〈0.05 was considered statistically significant.Results In observation group,the scores of SAS and SDS were（53.8±4.1）and（57.2±4.5）points respectively before intervention,and（41.7±3.4）and（35.6±3.0）points respectively after intervention.In control group,the scores of SAS and SDS were（54.4±4.3）and（56.8±4.6）points respectively before intervention,and（47.9±3.7）and（45.2±3.5）points respectively after intervention.The scores of SAS and SDS were significantly decreased in both groups after intervention（P〈0.05）.Observation group had significant improvement in psychological state after intervention,which was superior to control group and the difference was statistically significant between groups（P〈0.05）.Conclusions With psychological counseling and necessary drug intervention,the adverse reactions such as anxiety and depression get obviously improved in the elderly with CHD,which is of important significance to the improvement of quality of life in patients with CHD.