心理干预对合并抑郁情绪的慢性心力衰竭患者生活质量的影响

目的探讨心理干预对合并抑郁情绪的慢性心力衰竭患者生活质量的影响。方法选择2010年7月-2012年7月在浙江省宁波市第二医院心内科治疗的72例合并抑郁情绪的慢性心力衰竭患者为研究对象，运用随机数字表法将符合本研究纳入标准和排除标准的患者分为A组和B组，每组各36例，A组仅给予常规健康宣教和治疗。B组患者则加用心理干预，干预2周，观察并比较两组患者焦虑抑郁情绪和生活质量。结果入组时，两组患者在焦虑抑郁情绪得分上差异无统计学意义（P〉0．05），干预2周，B组患者焦虑抑郁情绪得分明显低于A组，差异有统计学意义（P〈0．05），而B组患者的SF-36量表中各维度指标得分均明显高于A组患者的，差异有统计学意义（P〈0．05）0结论心理干预能够明显改善合并抑郁情绪的慢性心力衰竭患者的焦虑抑郁情绪，提高患者的生活质量，改善患者的预后。

The effect study on the quality of life by psychological intervention in chronic heart failure patients with depression

Objective To investigate effect on the quality of life by psychological intervention in chronic heart failure patients with depression. Methods The clinical data of fifty chronic heart failure patients with depression who were treated in the department of cardiology were chosen in the Second Hospital of Ningbo from July 2010 to July 2012, then they were divided into group A and group B randomly with 36 cases in each group, group A were given routine treatment and health education, but group B were given psychological intervention on the basis of the routine treatment and health education, then in the end, the quality of life was compared. Results At the beginning of being into the group, two groups of patients had no statistically significant difference on anxiety depression score （P 〉 0.05）. After two weeks＂ intervention, the mean score of anxiety and depression in group B were less than that in group A （P 〈 0.05）, The other quality of life index of group B were obviously higher than that in group A （P 〈 0.05）. Conclusion Psychological intervention are conducive to reduce anxiety and depression, and can improves the quality of life and improve the chronic heart failure patients with depression life ability.