药物联合心理护理干预对冠心病伴抑郁/焦虑患者的影响

目的了解药物联合心理护理干预对冠心病伴抑郁/焦虑患者的影响。方法将80例患者随机分为研究组和对照组。两组均给予抗抑郁药治疗,对研究组进行心理护理,对照组常规护理。观察8周,使用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD-17)、生活质量综合评定问卷(GQOLI-74)进行评分。依据评分改变情况判断心理护理在治疗中的作用。结果治疗2周后HAMA评分显示对照组与治疗前比较无明显变化,HAMA评分显示研究组与治疗前比较评分显著降低(t=4.43,P0.01),且研究组评分低于对照组(t=2.21,P0.05)。治疗2周后HAMD评分显示对照组与治疗前比较降低(t=2.26,P0.05),研究组评分与治疗前比较显著降低(t=4.43,P0.01),研究组评分低于对照组(t=2.34,P0.05)。研究组治疗后心理功能评分低于对照组(t=2.49,P0.05)。结论心理干预能有效缓解患者的抑郁焦虑情绪,改善患者的心理功能,优于单纯使用抗抑郁药物。

The Influence of Medicines Combinated with Psychological Nursing on Depression and Anxietyin Patients with Coronary Heart Disease

Objective To investigate the influence of medicines combined with psychological nursing on depression and anxiety in patients with coronary heart disease .Methods 80 patients were randomly enrolled experiment group that accepted psychological nursing and contrast group that accepted regular nursing on the base of antidepressant for 8 weeks.Clinical efficacy was evaluated with Hamilton Depression Scale（HAMD）and Hamilton Anxiety Scale -17（HAMA-17）,Comprehensive assessment of the quality of life questionnaire （GQOLI-74）.Results After 2 weeks＇treatment,in experiment group the score of HAMA reduced significantly （t=4.43,P〈0.01） and was lower than that in contrast group （t=2.21,P〈0.05）.After 2 weeks＇treatment,the score of HAMD was lower than that before treatment（t=2.26,P〈0.05）,and in experiment group the score of HAMD reduced （t=4.43,P〈0.01）and was lower than that in con-trast group（t=2.34,P〈0.05）.The mental function score in experiment group was lower than that in contrast group （t=2.49,P〈0.05）.Conclusion Psychological nursing can effectively relieve depression or anxiety and improve mental functions in patients with coronary heart disease ,and is better than only using antidepressant .