老年高血压病并冠心病患者心理健康状况调查及其综合干预

Elderly patients with hypertension and coronary heart disease observed in patients with mental health and comprehensive intervention

目的:评估老年高血压病并冠心病患者心理健康状况并观察综合干预的效果。方法:对63例老年高血压病并冠心病患者采用汉密顿抑郁量表(HAMD)及汉密顿焦虑量表(HAMA)分别在入院时进行评估,然后进行6周的药物、心理和物理疗法的综合康复干预,并再次进行评估。结果:老年高血压病并冠心病患者存在不同程度的抑郁及焦虑,经6周综合干预后,HAMD、HAMA评分分别由(17.67±4.36)和(16.93±5.02)降为(11.23±3.11)和(11.76±3.08)(P<0.01),负性情绪发生率由85.71%降为46.03%。结论:老年高血压病并冠心病患者存在一定的心理问题,在药物治疗的同时、需给予心理及物理综合干预。

Objective：To evaluate elderly patients with hypertension and coronary heart disease observed in patients with mental health and comprehensive intervention. Methods ：63 elderly patients with hypertension and coronary heart disease using the Hamilton Depression Scale （HAMD） and Hamihon Anxiety Scale （HAMA） were assessed at admission, and then 6 weeks of medication, psychological and physical comprehensive rehabilitation therapy, and again assessed. Results： Elderly patients with hypertension and coronary heart disease patients with different degrees of depression and anxiety, comprehensive intervention by 6 weeks after, HAMD, HAMA score by （17.67 ±4.36） and （16.93 ±5.02） reduced to （11.23 ±3.11） and （11.76 ±3.08） （P〈0.01）, negative mood reduced the incidence from 85. 71% to 46.03%. Conclusions ： Elderly patients with hypertension and coronary heart disease there are some psychological problems, while in drug treatment, psychological and physical need for comprehensive intervention.