老年冠心病伴焦虑抑郁患者评估及综合干预研究

The study of the assessment and comprehensive intervention for elderly patients with depression and anxiety

目的探讨老年冠心病伴焦虑抑郁患者临床心理评估结果和综合干预治疗结果。方法 2009年12月～2012年12月入院治疗的80例冠心病伴焦虑抑郁患者根据治疗方法不同分为两组,对照组和综合干预组,每组40例,对照组单纯给予药物治疗,综合干预组给予药物治疗和心理干预治疗,两组治疗1、3周均进行焦虑自评量表(SAS)、抑郁自评量表(SDS)、西雅图冠心病调查量表(SAQ)评定焦虑抑郁状况,比较两组评定结果。结果两组患者经过3周治疗后,综合干预组SAS、SDS评分明显低于对照组(P<0.05),综合干预组的疗效较对照组明显增高(P<0.05),综合干预组SAQ评分高于对照组(P<0.05)。结论单纯药物治疗基础上给予心理干预对老年冠心病伴抑郁患者疗效较好,患者身体及生活质量明显提高,值得临床推广应用。

Objective To explore the effect of the assessment and comprehensive intervention for elderly patients with depression and anxiety. Methods 80 elderly patients with depression and anxiety in our hospital from December 2009 to December 2012,according to the different treatment ways divided into two groups,the control group and the intervention group,40 cases of each group.patients of the control group were treated with simple drug treatment,patients of the intervention group were treated with simple drug treatment and psychological intervention therapy,patients of two groups used the Self-Rating Anxiety Scale（SAS）, self-rating depression scale（SDS）,Seattle coronary heart disease questionnaire （SAQ） to evaluate the anxiety and depression status assessment after 1,3 week.The evaluation results of two groups were compared. Results Patients of two groups after 3 weeks treatment,the score of the Self-Rating Anxiety Scale （SAS）,self-rating depression scale（SDS）of the intervention group were lower than that in the control group （P 〈 0.05）,the effect of the intervention group was higher than that in the control group（P〈 0.05）,the score of the Seattle coronary heart disease questionnaire（SAQ）of the intervention group were higher than that in the control group（P 〈0.05）. Conclusion The effect of psychological intervention basis on simple drug treatment for elderly patients with depression and anxiety is good. The physical and life quality of patients significantly, it is worthy of clinical popularization.