老年冠心病患者伴焦虑抑郁情绪的心理干预

Psychological intervention on the elderly cases of coronary heart disease with depression and anxiety

目的研究心理干预对老年冠心病患者伴焦虑抑郁的作用。方法将102例老年冠心病伴焦虑抑郁的住院患者随机分为两组，一组为单纯药物治疗组（对照组），另一组为心理治疗结合药物治疗组（心理干预组）。两组在治疗前和治疗4周均采用焦虑自评量表（SAS）、抑郁自评量表（SDS）、西雅图心绞痛调查量表（SAQ）评分，在出院时进行临床疗效总体评估。结果心理干预组与对照组SAS、SDS、SAQ首次评定结果差异无统计学意义；4周后再次评定，心理干预组的SAS、SDS、SAQ评分较对照组有明显改善（P〈0．05）。结论心理干预对老年冠心病伴焦虑抑郁有很好的治疗效果。

Objective To study the psychological intervention on the elderly cases of coronary heart disease with depression and anxiety. Methods Totally 102 eases of coronary heart disease with depression and anxiety were randomly divided into two groups： the simple drug treatment group （the control group） and psychological intervention with drug treatment group （psychological intervention group）. Both the two groups were scored by Self-Rating Anxiety Scale（SAS）, Self-Rating Depression Scale（SDS） and Seattle Angina Questionnaire（SAQ） before treatment and four weeks later. Clinical efficacy was evaluated when the patients were discharged. Results There were no significant differences in SAS, SDS and SAQ scores between the two groups before treatment. The SAS, SDS and SAQ scores of psychological intervention group were significantly improved compared with those of the control group when re-evaluation was conducted after four weeks （P 〈 0.05）. Conclusion Psychological intervention has good therapeutic effect on the elderly patients of coronary heart disease with depression and anxiety.