冠心病患者抑郁症状的调查及干预研究

Investigate and intervene on symptoms of depression of coronary heart disease Patient

目的研究冠心病与抑郁、焦虑障碍等症状的关系,并观察给予有效心理护理、抗抑郁等措施后的疗效。方法 (1)从2011年4月～2012年4月住院的冠心病患者70例作为实验组,同期体检中心相同数量的健康人群做对照组,分别先用Zung抑郁自评量表(SDS)进行自评,再行汉密顿抑郁量表(HAMD)24项评定后进行统计,观察冠心病与抑郁的关系。(2)可能有抑郁症及肯定有抑郁症的48例冠心病患者做为实验组,符合冠心病诊断标准的同期住院患者50例作为对照组,实验组除常规扩冠、抗凝等治疗外,进行心理护理、抗抑郁干预,对照组只进行常规扩冠、抗凝等治疗。分别于干预后2月、6月、1年均用Zung抑郁自评量表(SDS)进行自评、汉密顿抑郁量表(HAMD)24项进行评定,观察干预疗效,并对比心血管事件发生率、再住院率、住院平均天数、住院平均费用。结果 (1)冠心病与抑郁、焦虑障碍存在阳性关系,而且是一种负性的关系。(2)及时进行干预措施,疗效显著,而且可减轻家庭与社会的负担。结论对冠心病患者既要加强二级预防,又要注意干预精神心理障碍。

Objective To study coronary artery disease and symptoms of depression, anxiety disorders, relationships, and observation to give an effective psychological care, antidepressant efficacy measures. Methods （1） From 2011April to 2012 April hospitalization of patients with coronary heart disease70 cases as the experimental group, same physical examination center of the same number of healthy people as control group, Respectively, first by Zung Self-Rating Depression Scale （SDS） for self-evaluation, and Hamilton Depression Scale （HAMD） 24 rating statistics, observation of relationship between depression and coronary heart disease. （2） Likely to have depression and is sure to have depression in 48 patients with coronary heart disease as the experimental group, consistent with coronary heart disease diagnosis standard hospitalized patients50 cases as the control group, The experimental group in addition to conventional crown expansion, anticoagulant therapy, psychological nursing, antidepressant interventions, while the control group only underwent conventional coronary dilating, anticoagulation therapy. In February June. （1） with annual with Zung Self-Rating Depression Scale （SDS） for self-evaluation, Hamilton Depression Scale （HAMD） 24were assessed, observe the intervention effect, And compared the incidence of cardiovascular events, and hospitalization rate, the average number of days of hospitalization, hospitalization average cost. Results （1） Coronary heart disease and depression, anxiety disorder exists positive relation, but also a negative relationship. （2） Timely interventions,efficacy significantly, But also can reduce the burden of family and society. Conclusion In patients with coronary heart disease should be strengthened two grade prevention, and intervention of psychological Disorder.