社区干预对老年心血管疾病患者焦虑、抑郁情绪的影响

Effect of community intervention on anxiety and depression in elderly patients with cardiovascular disease

目的探讨社区干预对老年心血管疾病患者焦虑、抑郁情绪的影响效果。方法 2014年5月至2015年6月选取滨州市某乡镇年龄大于或等于60岁老年人为研究对象,采用焦虑自评量表(SAS)和抑郁自评量表(SDS)对老年心血管疾病患者102例(干预组)及健康体检老年人103例(对照组)进行评分并统计分析。干预组实施社区干预3个月,复查SAS和SDS评分。结果干预组焦虑、抑郁发生率[45.1%(46/102)、40.2%(41/102)]均明显高于对照组[20.4%(21/103)、17.5%(18/103)],差异有统计学意义(P<0.01);社区干预3个月后,干预组SAS、SDS评分均较干预前降低,差异有统计学意义(P<0.01)。结论老年心血管疾病患者存在不同程度的焦虑、抑郁情绪,社区干预可明显改善患者的心理状况,提高老年人生活质量。

Objective To investigate the effect of community intervention on anxiety and depression in elderly patients with cardiovascular disease. Methods A total of 102 elderly patients with cardiovascular disease（intervention group）aged 60 years old or more and 103 elderly persons undergoing the physical examination（control group）in a township of Binzhou city From May 2014 to June 2016 were selected as the research subjects and evaluated by adopting the Self-rating Anxiety Scale（SAS）and Self-rating Depression Scale（SDS） for conducting statistical analysis. The intervention group was implemented the 3-month community intervention. Then SAS and SDS scores were re-measured. Results The incidence rates of anxiety and depression were45.1%（46/102） and 40.2%（41/102） in the intervention group,which were significantly higher than 20.4%（21/103） and 17.5%（18/103） in the control group respectively,the differences were statistically significant（P〈0.01）. After 3-month community intervention,the scores of SAS and SDS in the intervention group were decreased compared with before intervention,the difference was statistically significant（P〈0.01）. Conclusion Elderly patients with cardiovascular disease suffer from varying degrees of anxiety and depression and the community intervention can significantly improve their psychological status and increase the quality of life.