老年冠心病合并焦虑抑郁状况及综合干预研究

目的探讨老年冠心病合并焦虑抑郁情绪状况及综合干预治疗效果。方法对106例老年冠心病患者于入组时采用焦虑自评量表、抑郁自评量表评定焦虑抑郁状况，根据测评结果进行综合干预治疗，观察6w。于综合干预6w末再次应用焦虑自评量表、抑郁自评量表进行测评，并进行对比分析。结果106例冠心病患者焦虑、抑郁发生率分别为73．5％和69．8％，综合干预治疗后焦虑、抑郁发生率降为47．2％和39．8％，与干预前比较均有极显著性差异（χ^2=7．79，9．90，P％0．01）；合并焦虑抑郁患者综合干预后焦虑自评量表、抑郁自评量表总分均较干预前有显著性下降（P〈0．01），焦虑、抑郁的程度均较干预前显著改善（P〈0．01）。结论老年冠心病患者焦虑抑郁情绪发生率较高，采取综合干预治疗效果显著。

Anxiety-depression status of senile patient with coronary artery diease and combined intervention

Objctive To explore the anxiety-depression status of senile patient with coronary artery diease(CAD) and effectiveness of combined intervention.Methods Anxiety-depression status was assessed with the Self-rating Anxiety Scale(SAS) and the Self-rating Depression Scale(SDS) in 106 CAD patients on enrollment,combined interventions were conducted on the basis of assessments after testing and measuring and observed for 6 weeks.After 6 week intervention,assessments and contrastive analyses were conducted with the SAS and SDS once again.Results Incidence rates of the anxiety and depression were respectively 73.5% and 69.8% on enrollment and 47.2% and 39.8% after combined interventions,which showed very significant difference(P<0.01);after combined intervention,total sacores of the SAS and SDS lowered more significantly(P<0.01) and anxiety-depression levels improved more significantly(P<0.01) compared with pre-intervention.Conclusion Incidence rates of anxious and depressive emotions of senile CAD patients are higher and treatment effectiveness of combined interventions is notable.