急性冠脉综合征患者的心理评估及心理干预

目的探讨急性冠脉综合征患者的心理障碍及心理干预的临床效果。方法采用抑郁状态问卷(DSI)和症状自评量表(SCL-90)对112例急性冠脉综合征患者进行问卷调查,将有抑郁症状的患者随机分为干预组及药物组,干预组在进行常规治疗的同时给予心理干预,比较两组的疗效。结果112例患者中,79例(70.5%)有抑郁症状,SCL-90量表的躯体化、抑郁、焦虑、恐惧、偏执、总分、阳性均分等与常模相比有显著性差异;接受心理干预后,抑郁评分明显降低,症状明显改善(P<0.01),住院时间缩短(P<0.05)。结论心理因素在急性冠脉综合征发生、发展及预后中的作用不可忽视,有效的心理干预能促进患者康复。

Effect of psychological evaluation and intervention on patients with acute coronary syndrome

ObjectiveTo investigate the effects of psychological intervention on patients with acute coronary syndrome (ACS) accompanied by psychogenic disturbance.Methods112 patients with ACS were evaluated with depression status inventory (DSI) and symptom checklist-90 (SCL-90). The cases accompanied with depression were randomly divided into the psychological intervention group (group A) and drug group (group B). Patients of group A were treated with psychological intervention besides routine therapy. The curative effects of the two groups were compared.Results79 cases (70.5%) had depression. Their scores of somatization, depression, anxiety, fear, paranoid ideation, and total score and positive symptom distress level of SCL-90 were significantly different compared with the normal group. After psychological intervention, to patients of the group A, the DSI score fell and symptoms improved significantly ( P<0.01), the in-patient duration shorten ( P<0.05).ConclusionPsychogenic factors is not neglectable in the process and prognosis of ACS. Effective psychological intervention can promote the patient's healing.