急性冠脉综合征患者焦虑抑郁状况的心理干预效果分析

目的探讨急性冠状动脉综合征(Acute Coronary Syndrome,ACS)与急性胰腺炎(acute pan-creatitis,AP)住院患者焦虑抑郁状况以及心理干预的效果。方法应用抑郁自评量表、焦虑自评量表、汉密顿抑郁量表、汉密顿焦虑量表对120例ACS及116例AP住院患者进行问卷调查并进行对比分析,并对有焦虑抑郁负性情绪的ACS患者进行心理干预治疗,出院前再次进行心理状态的评定,两次评定结果进行分析,比较心理干预效果。结果ACS患者焦虑抑郁的发生率明显高于急性胰腺炎患者(p<0.01)。结果提示对于出现焦虑抑郁负性情绪的ACS患者积极进行心理干预,能够有效减轻焦虑抑郁症状,提高生活质量,心理干预前后的评定结果比较具有显著性差异(p<0.01)。结论针对ACS患者应该加强患者对病情的认知,医护人员应及早识别和诊断ACS合并存在的焦虑抑郁状态,加强心理干预,加强心理辅导,给更多的关爱,照顾和支持,提升患者积极配合治疗和依从性,控制焦虑抑郁症状,改善患者的生活质量。

ANALYSIS OF THE EFFECT OF MENTAL INTERVENTION ON DEPRESSION AND ANXIETY STATUS OF HOSPITALIZED PATIENTS WITH ACUTE CORONARY SYNDROME

Objective To evaluate related factors of depression and anxiety status of hospitalized patients with Acute Coronary Syndrome(ACS).Method 160 case of ACS and another 116 case of acute pancreatitis(AP)hospitalized patients were investigated via adopting questionnaire of self-depression scale(SDS),self-anxiety scale(SAS),HAMD and HAMA.The result was analysis by case control comparable.Result The rate of depression and anxiety status is higher in hospitalized patients with ACS than control patients with AP.The result of investigated study showed that depression and anxiety status after ACS,both symptoms will be effectively released,in the same time their life quality were be improved by intervention and anti-depression drugs,the result of evaluation score between before mental intervention and anti-depression drugs and after are compared,the difference is very significance(p< 0.01).Conclusion For patients with ACS,it is important to enhance the patients to recognize the disease of ACS,offer more care and mental intervention,help and social support beyond the living nursing care in order to promote the patients to go with the therapy actively and with good compliance,to decrease the symptoms of depression and anxiety,to improve the patients' quality of life.