不稳定心绞痛患者心理状况分析

Study of the Psychological Health of Unstable Angina Pectoris Patients

目的探讨冠心病不稳定心绞痛(UA)患者的心理状况,为临床心理康复提供客观依据。方法采用焦虑自评量表(SAS)、抑郁自评量表(SDS)和A型行为问卷,对56例住院冠心病不稳定心绞痛患者进行调查。结果冠心病不稳定心绞痛患者SAS标准分>38分21例,焦虑发生率37%;SDS标准分≥43分25例,抑郁发生率43%;A型行为评分28～50分48例,A型行为占89%。不稳定心绞痛与急性心肌梗死患者比较发生抑郁的人数显著增多(t=2.936,P<0.01),但二者出现焦虑情绪无显著差异(t=1.045,P>0.05)。结论冠心病不稳定心绞痛患者常出现焦虑、抑郁情绪,其抑郁情绪的发生率较急性心肌梗死明显增高,临床在治疗基础疾病的同时应积极采取心理康复措施。

Objective To study the psychological health of the patients with unstable angina pectoris and provide the scientific basis for clinical psychological therapy. Methods Self-rating anxiety scale (SAS), self-rating depression scale (SDS) and type A behavior were employed to investigate the 56 cases of coronary heart disease patients.Results Among the patients of unstable angina pectoris of coronary heart disease, there were 21 patients whose SAS standard points were more than 38. The incidence of anxiety was 37%. And there were 25 patients, whose SDS standard points were more than 43. The incidence of depression was 43%. There were 48 patients whose type A behavior points were 28~50. They accounted for 89%. The number of those suffering from depression was larger in unstable angina pectoris than in acute myocardial infarction (t=2.936, P<0.01), but there was no significantly difference in anxiety between these two groups (t=1.045, P>0.05). Conclusion The patients who suffer from unstable angina pectoris have the emotion of anxiety and depression, so psychological factors should be considered in their clinical treatment.