心理评估与健康教育对伴抑郁症老年冠心病患者近期预后的影响

目的观察心理评估基础上健康教育对老年不稳定型心绞痛伴抑郁患者症状及近期预后的影响。方法将老年不稳定型心绞痛伴抑郁的患者进行心理评估,随机分为健康教育组、抗抑郁药物治疗组和对照组各31例,健康教育组、抗抑郁药物治疗组分别在常规心脏病药物治疗基础上给予冠心病健康教育、抗抑郁药盐酸舍曲林(左洛复)50mg/d,共12周;对照组给予单纯常规心脏病药物治疗。结果健康教育组与药物治疗组心肌缺血明显改善,心绞痛复发率及发生急性心肌梗死比率与对照组比较,差异有统计学意义(P<0.05),上述指标健康教育组与药物治疗组比较差异无统计学意义(P>0.05)。结论心理评估基础上的冠心病健康教育与抗抑郁药物治疗同样能改善不稳定型心绞痛伴抑郁患者的症状及近期预后。

The influence of health education and anti-depressive therapy on short-term prognosis in elderly patients with unstable angina and depression

Objective To investigate the influence of health education and anti-depressive therapy on short-term prognosis in elderly coronary heart disease patients with depression.Methods 93 unstable anginal patients were randomly assigned to health education group(n=31),anti-depressive medical treatment group (n=31) and control group(n=31).Patients receive health education or anti-depressant sertraline HCI (Zoloft Pfizer) 50 mg qd on the basis of conventional cardiac medicinal therapy for 12 weeks; while patients in the control group received only conventional cardiac medicinal therapy.Results In the health education group and anti-depressive medical treatment groups,myocardial ischemia was more significantly improved and the recurrence rate of angina and incidence of AMI were lower.There were no significant differences between the 2 groups (P<0.05) but significant differences compared with the control group(P<0.05).Conclusion health education and anti-depression measures can both significantly improve the short-term outcome of elderly unstable anginal pectoris patients.