心理干预对慢性心力衰竭患者抑郁的影响

The Effect of Psychological Intervention to the Depression in Chronic Heart Failure Patients

目的:改善慢性心力衰竭患者的不良应对方式,降低抑郁症的发生。方法:以60例慢性心力衰竭患者为研究对象,随机分为干预组与对照组,各30例。干预组采用常规治疗及每月1次"生命网"讲座与门诊随访,对照组采用常规治疗及健康教育。应用Zung抑郁自评量表(Self-rating Depression Scale,SDS)[1]进行入组时、半年时、一年时的评定,观察干预效果。结果:2组入组时抑郁自评量表得分均较高,差异无统计学意义(P>0.05);半年后及一年后干预组SDS得分明显低于对照组(P<0.05)。结论:心理干预能有效改善慢性心力衰竭患者的抑郁,提高其心理健康水平。

Objective：To improve the negative response way in patients with chronic heart failure and to reduce the occurance of depression.Methods：60 chronic heart failure patients were as object of study,and randomly divided them into an intervention group and a control group of 30 each.The intervention group were treated with conventional treatment and given a ＂web of life＂ lecture once a month and out-patient follow-up;the control group were treated with conventional treatment and health education.Zung Self-rating Depression Scale（SDS）[1]was applied to evaluate the conditions at the time of entering into the group,six months,one year,and observed the intervention effect.Results：The two groups＇ scores of the Self-rating Depression Scale（SDS） were both higher when recruited,and the difference had no statistically significance（P0.05）.But after six months,and one year,the Self-rating Depression Scale（SDS） scores of the intervention group were significantly lower than the control group,the difference had statistically significance（P0.05）.Conclusion：The psychological intervention can effectively improve the depression in patients with chronic heart failure and raise their psychological health levels.