摘要
目的 探索心理干预对冠心病患者心理状况及生活质量的影响。方法 对100例住院冠心病患者随机分为干预组(心内科常规治疗+心理干预)和对照组(心内科常规治疗)各50例,在入组时、入组后三个月、六个月时分别进行汉密顿抑郁量表(HAMD)、汉密顿焦虑量表(HAMA)、症状自评量表(SCL-90);和健康状况调查问卷(SF-36)评定。结果 入组三月和六月后,干预组HAMD和HAMA总分均显著低于对照组(P<0.01);干预组患者的SCL-90总分、躯体化、抑郁和焦虑因子分显著低于对照组(P<0.05);干预组患者SF-36的各因子分均高于对照组患者。结论 与单纯内科治疗相比,综合治疗(心内科常规治疗合并心理干预)能显著改善冠心病患者的心理状况和生活质量。
Objective: To explore the effects of psychological intervention on mental state and quality of life in patients with coronary heart disease. Methods: 100 cases with coronary heart disease were randomly divided into intervention group and control group, HAMA, HAMD, SCL-90 and SF-36 were evaluated. Results: The total score and some factors score of HAMA, HAMD, SCL-90, SF-36 in intervention group were significantly different with controls group. Conclusion: Combinative psychological intervention can obviously improve mental state and quality of life in patients with coronary heart disease.
出处
《上海精神医学》
北大核心
2003年第z1期17-20,共4页
Shanghai Archives of Psychiatry
关键词
冠心病
心理干预
心理状况
生活质量
Coronary heart disease Psychological intervention Mental state Quality of life
