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目的研究心理干预对老年冠心病伴焦虑抑郁的影响。方法将62例老年冠心病伴焦虑抑郁的住院病人随机分为两组,一组为单纯药物治疗组(对照组),另一组为心理治疗结合药物治疗组(心理干预组)。两组在治疗前和治疗3周均采用SDS、SAS评分,在出院时进行住院时间及临床疗效总体评估。结果心理干预组与对照组SAS、SDS首次评定结果差异无显著性,3周后再次评定,心理干预组的SAS、SDS评分显著低于对照组(P<0.05),两组差值比较显示:两组SAS、SDS评分均下降,但心理干预组与对照组相比下降程度更为显著(P<0.01);心理干预组住院天数为21～51天,平均25.3±5.8天;对照组住院天数为22～65天,平均34.2±7.3天,差异有显著性(P<0.01);心理干预组临床疗效总体评价优于对照组(χ2=6.42,P<0.05)。结论心理干预对老年冠心病伴焦虑抑郁有很好的治疗效果,缩短了住院时间。
Objective To study the effect of psychological intervention on senile coronary heart disease with anxiety and depression. Methods Sixty-two elderly patients with coronary heart disease and anxiety and depression were randomly divided into two groups: one was drug-only group (control group), and the other group was psychotherapy combined with drug-treatment group (psychological intervention group). SDS and SAS scores were used before and 3 weeks after treatment in both groups, and the hospitalization time and overall clinical efficacy were evaluated at discharge. Results There was no significant difference in SAS and SDS between the psychological intervention group and the control group. After 3 weeks, the scores of SAS and SDS were significantly lower than those of the control group (P <0.05). The difference between the two groups showed that: The score of SAS and SDS in both groups decreased, but the degree of depression in psychological intervention group was more significant than that in control group (P <0.01). The number of hospitalization days in psychological intervention group was 21-51 days (average 25.3 ± 5.8 days) (P <0.01). The overall clinical evaluation of psychological intervention group was better than that of the control group (χ2 = 6.42, P <0.05). Conclusion Psychological intervention has good therapeutic effect on elderly patients with coronary heart disease and anxiety and depression, shortening the length of hospital stay.