冠心病人抑郁情绪调查及焦点式心理护理

Investigation of depressive state in the patients with coronary heart disease and psychological nursing

目的了解冠心病人抑郁情绪发生情况,探讨实施焦点式心理护理的效果。方法选择148例冠心病住院病人,采用抑郁量表(SDS)调查,发现108例存在不同程度的抑郁情绪。按自愿入组的原则将108例分为两组,对照组55例行常规护理,观察组53例在此基础上行焦点式心理护理。结果焦点式心理护理10 d后SDS评分,观察组明显低于对照组和干预前,其差异有显著性(P<0.01),临床症状缓解程度观察组好于对照组。结论冠心病人中抑郁情绪发生率高,必须予以高度重视;焦点式心理护理可有效减轻冠心病人的抑郁情绪,有助于冠心病人的治疗和康复。

Objective To investigate the incidence of depression state occurring in the patients with coronary heart disease （CHD） and the effect of psychological nursing. Methods 148 patients suffering from CHD were enrolled and accepted the investigation of SDS , Among them, 108 patients were confirmed to have depression and were divided into two groups according to their own will, 55 patients in the control group received routine and simple psychological nursing, and the remaining 53 patients in the observation group were subjected to focus psychological nursing on the basis of above measures. Results After nursing care for 10 days, grades of SDS were substantially lower in the observation group than in the control group（ P 〈0.01 ）. In addition, remission extent of clinical symptoms was more satisfactory in the observation group than in the control group and before intervention. Conclusion The incidenee of depressive states is high and focus psychological nursing contributes to relieve depression in patients with CHD.