女性冠心病患者并发焦虑和抑郁的个性化干预效果评价及影响因素

The Effect Evaluation of Personalized Interventions to Female Coronary Heart Disease Patients with Anxiety and Depression and the Influencing Factors

评价女性冠心病患者伴焦虑抑郁的个性化干预效果并探讨影响因素。试验组进行个性化干预,对照组不做任何特殊处理。干预后试验组的焦虑自评量表和抑郁自评量表分数明显低于试验前(P<0.01),而对照组无显著变化(P>0.05);试验组的平均住院时间为11.36天,低于对照组的15.42天(P<0.01);文化程度、公费比例、疾病认知和病程影响焦虑的干预效果,疾病认知和单身年限会影响抑郁的干预效果。采取个性化干预的综合治疗效果显著。

This is to evaluate the effect of personalized intervention to female coronary heart disease （CHD） patients associated with anxiety and depression and explore the factors that influence the intervention effect. Trial group received person- alized interventions, but no intervention to control group. After interventions in trial group the scores of the Self--rating Anxiety Scale and the Self--rating Depression Scale were respectively decreased（P〈0.01）, while no significant change in control group （P〉0.05）. In trial group, the average hospitalization time was 19.86 days, a decrease compared with 24. 42 days in control group（P〈0.01 ）. The degree of education, the proportion of free medical care, the knowledge of the disease and the course of disease influenced the effect of the interventions to anxiety. The knowledge of the disease and the years of single influenced the effect of the interventions to depression. Personalized interventions could take significant treatment effect.