冠心病患者择期介入治疗前后焦虑抑郁的心理干预

目的：观察心理干预冠心病患者择期经皮冠状动脉介入治疗（PCI）前后焦虑抑郁状态的效果。方法：选择择期行PCI手术的患者247例,采用汉密尔顿焦虑量表（HAMA）和抑郁量表（HAMD）进行自行问卷调查,了解PCI术前、术后给予心理干预治疗后两种量表的总分和心理问题发生率变化。结果：与心理干预前比较,干预后患者焦虑（74.1%比26.7%）、抑郁（58.7%比21.5%）发生率明显降低,HAMA[（16.83±4.25）分比（10.57±3.38）分]、HAMD[（17.92±5.42）分比（11.68±3.76）分]总分明显减少,P均〈0.01。结论：冠心病择期介入治疗前大部分患者存在焦虑抑郁情绪障碍,心理干预可明显减少其发生率,并降低严重程度。

Effects of psychological intervention on anxiety and depression in patients with coronary heart disease before and after selective percutaneous coronary intervention

Objective:To observe the efficacy of psychological intervention on anxiety and depression in patients with coronary heart disease before and after selective percutaneous coronary intervention(PCI).Methods: A total of 247 patients undergoing selective PCI were enrolled in the study.Hamilton rating scale for anxiety(HAMA),Hamilton rating scale for depression(HAMD) were used to self investigation for effects of psychological intervention before and after PCI.Total scores of two scales and incidence rate of psychological problems were analyzed.Results:Compared with before psychological intervention,there were significant decrease in incidence rates of anxiety(74.1% vs.26.7%) and depression(58.7% vs.21.5%) and total scores of HAMA [(16.83±4.25) scores vs.(10.57±3.38) scores]and HAMD [(17.92±5.42) scores vs.(11.68±3.76) scores]after intervention,P<0.01 all.Conclusion: Anxiety and depression are found in most patients with coronary heart disease before selective percutaneous coronary intervention,and their incidence rates and severity can be significantly decrease because of psychological intervention.