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目的评价心理干预措施在急性心肌梗死治疗中的意义。方法 2008年2月-2009年2月,将50例急性心肌梗死合并焦虑抑郁患者随机分为对照组和观察组,对照组常规治疗,观察组在对照组的基础上联用心理干预措施。对两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)、满意度等情况进行比较。结果两组患者负性情绪均有所好转,但治疗后观察组SAS评分为(32.15±6.17)分,明显低于对照组的(46.28±7.35)分(P<0.05);观察组SDS评分为(27.59±6.31)分,明显低于对照组的(38.75±5.69)分(P<0.05)。出院时观察组总满意率为64%,明显高于对照组的总满意率(36%)(P<0.05)。结论在采用常规治疗的基础上联用心理干预措施治疗急性心肌梗死合并焦虑抑郁有提高疗效的作用,建议临床进一步推广。
Objective To evaluate the significance of psychological intervention in the treatment of acute myocardial infarction. Methods From February 2008 to February 2009, 50 patients with acute myocardial infarction complicated by anxiety and depression were randomly divided into control group and observation group. The control group received routine treatment. The observation group was treated with psychological intervention on the basis of the control group. The self-rating anxiety scale (SAS), depression self-rating scale (SDS), satisfaction and so on were compared between the two groups. Results The negative emotions improved in both groups, but the scores of SAS in the observation group were (32.15 ± 6.17) points after treatment, which were significantly lower than those in the control group (46.28 ± 7.35) (P <0.05) (27.59 ± 6.31), which was significantly lower than that of the control group (38.75 ± 5.69) (P <0.05). At discharge, the total satisfaction rate of the observation group was 64%, significantly higher than that of the control group (36%) (P <0.05). Conclusions On the basis of routine treatment combined with psychological interventions for the treatment of acute myocardial infarction with anxiety and depression have the effect of improving efficacy, it is recommended that the clinical further promotion.