心理行为干预对老年冠心病合并抑郁障碍患者生活质量及主观幸福感的影响

目的 探讨心理行为干预对老年冠心病(CHD)合并抑郁障碍患者生活质量及主观幸福感的影响.方法 住院确诊的95例老年CHD患者作为研究对象.采用老年抑郁量表(GDS)、总体幸福感量表(GWBS)及生活质量综合评定问卷(GQLI)对患者进行测评.根据GDS得分情况将患者分为2组,GDS评分>10分者为抑郁组,其他为对照组.抑郁组除进行常规治疗外,还进行心理干预;对照组仅进行常规治疗.结果 干预4周后抑郁组GDS评分(11.87±4.35)分]显著低于对照组(14.51±6.01)分];较干预前显著下降(P<0.01).干预2周后抑郁组GWBS得分(48.57±12.65)分]显著高于对照组(41.29±10.52)分],较干预前显著增高(P<0.01).对照组仅GWBS得分在治疗4周后较干预前显著增高,差异有显著性(P<0.05).干预2周后抑郁组GQLI总分及躯体功能、心理功能维度的得分即高于对照组,差异有显著性(P<0.05或<0.01);而社会功能至干预4周后抑郁组方显著高于对照组(P<0.05).抑郁组在干预2周后其GQLI总分及躯体功能、心理功能、社会功能维度的得分即显著高于干预前差异有显著性(P<0.05或<0.01);对照组仅在治疗4周后其总分及躯体功能维度的得分显著高于治疗前(P<0.05).结论 心理行为干预能有效缓解老年CHD患者的抑郁情绪,改善生活质量,提高患者的主观幸福感.

The effects of psychobehavioral interventions on the life quality and subjective happiness in elder patients with coronary heart disease combined wirh depression

Objective To explore effects of psychobehavioral interventions on the life quality and subjective happiness in elder patients with coronary heart disease combined with depression.Methods The GDS,GWBS and GQLI were tested in elder patients with coroner artery heart disease combined with depression,and by the GDS score the patients were divided into depression group(GDS>10 score)and control group(GDS＜10 score).The depression group was treated with the psychobehavioral intervention besides the routine treatments,while the control group was only treated with the routine treatments.Results The GDS score decreased significantly after interventions for 4 weeks in depression group compared with control group(P＜0.05)and GWBS score increased significantly after interventions for 2 weeks in depression group compared with control group(P＜0.01).Compared with that before interventions,the GWBS score increased significantly from the second week and the GDS score decreased significantly from the forth week after interventions in depression group(P＜0.01).Compared with control group,the scores of the physical function item and psycholosical function item of GQU increased significantly in depression group after interventions from the second week(P＜0.05,＜0.01);and compared with that before interventions,the tottal scores and the score of the physical function item,psycholosical function and soeiacial function item of GQLI increased significantly in depression group after interventions from the second week(P＜0.05,P＜0.01).Conclusion The psychobehavioral interventions could improve the depression mood,life quality and subjective happiness in elder patients with coronary heart disease.