心肌梗死住院患者心理健康状态调查与心理干预

Mental health status investigation and psychological intervention on myocardial infarc-tion inpatients

目的了解心肌梗死住院患者心理健康状态，为病后及时有效进行心理干预提供科学依据。方法采用症状自评量表（SCL-90）汉密顿抑郁量表（HAMD）、汉密顿焦虑量表（HAMA）、社会支持评定量表（SSRS）对105例心肌梗死住院患者进行心理问卷调查研究，检出心理障碍者进行心理干预。结果患者住院后1周内心理问卷调查显示，86％的患者存在着不同程度的心理障碍。心理干预前，患者SCL-90评分与全国常模进行比较，差异有显著意义（P〈0．01）干预后，患者SCL-90评分与全国常模相比无统计学意义（P〉0．1）。结论心理干预可明显改善心肌梗死患者心理健康状态，提高其心理应激水平，促进早日康复。

Objective To understanding the mental health status of myocardial infarction inpatients, and to timely and effectively carry out the psychological intervention by providing scientific basis. Methods Using Self-rating Scale （SCL-90）, Hamilton Depression Scale （HAMD）, Social Support Rating Scale （SSRS） and Hamilton Anxiety Scale （HAMA） to investigate 105 myocardial infarction inpatients with mental questionnaire research, a mental disorder was found and treated with psychological intervention. Results Questionnaire survey one week later showed 86% of patients were found existing the psycho- logical mental disorders at different degrees. Before psychological intervention, SCL-90 of patients were compared to national norm, significant difference （P〈 0.001）, after the intervention, the difference of patients with SCL-90 compared with the norm was not statistically significant （P 〉 0.1）.Conclusion Psychological intervention can obviously improve the psychological health condition of myocardial infarction patients, and raise their psychological stress level, promoting their early recovery.