“双心医学”模式在心肌梗塞伴情绪障碍病人中的应用

Application of psycho-cardiology medical mode in patients with myocardial infarction complicated emotional disorder

目的:探讨"双心医学"模式在心肌梗塞伴情绪障碍病人中的应用。方法:采用Zung焦虑和抑郁自评量表(SAS,SDS)对住院心肌梗塞病人进行问卷调查,选出符合条件的61例病人,随机分为常规治疗组(31例)和干预组(30例)。常规治疗组给予常规药物治疗,干预组在常规药物治疗基础上运用"双心医学"模式进行干预,6周后再次测评,将干预组病人干预前后积分进行统计学分析。结果:与常规治疗组比较,干预组病人SAS总分[(49.42±6.72)分∶(41.03±6.33)分]、SDS总分[(51.90±6.76)分∶(44.33±6.91)分]均有显著降低(P<0.01)。结论:"双心医学"模式在治疗心肌梗塞的同时,化解病人存在的心理问题,达到心血管和心理双健康,有助于病人全面康复。

Objective：To explore the application of psycho-cardiology medical mode in patients with myocardial infarction complicated emotional disorder.Methods：Hospitalized patients with myocardial infarction were assessed with Zung self-rating anxiety scale（SAS） and self-rating depression scale（SDS）.A total of 61 cases with emotional disorder were selected and randomly divided into routine treatment group（n=31,received routine medication） and intervention group（n=30,received intervention of psycho-cardiology medical mode based on routine medication）.Tests were done after six weeks and changes of scores of the two groups before and after therapy were statistically analyzed.Results： Compared with routine treatment group,total scores of SAS [（49.42±6.72） scores vs.（41.03±6.33） scores] and SDS [（51.90±6.76） scores vs.（44.33±6.91） scores] significantly decreased in intervention group（P0.01 all）.Conclusion： Psycho-cardiology medical mode can treat myocardial infarction and solve psychological problems of patients,and is conducive to comprehensive rehabilitation of patients.