摘要
目的:探讨综合心理治疗对冠心病患者抑郁、焦虑情绪的干预效果,及对临床疗效的影响。方法:将南昌市第一医院冠心病患者62例随机分为心理干预组及对照组,每组31例。两组均按常规的心血管科治疗,干预组同时配合综合性心理治疗,共3周。干预前后应用抑郁自评量表(SDS)、焦虑自评量表(SAS)和症状自评量表(SCL-90)对患者进行评定,并比较两组临床疗效。结果:干预组第4周SDS(39.72±8.96)及SAS评分(40.46±5.63)均显著低于对照组,差异有显著性(t=3.70,5.88;P均<0.01);两组SDS及SAS差值比较,差异有显著性(t=4.33,4.58;P均<0.01);干预组SCL-90的阳性项目数、躯体化、敌对性评分低于对照组,两组差值差异有显著性(t=3.66,8.28,2.01;P均<0.01);干预组住院天数犤(34±8)d犦短于对照组,差异有显著性(χ2=6.78,P<0.05);临床疗效大体评定干预组也优于对照组。结论:心理治疗能显著降低冠心病患者抑郁、焦虑情绪的严重程度,并可提高临床疗效。
AIM:To investigate the interventional effects of comprehensive psychotherapy on depression and anxiety of patients with coronary heart disease(CHD), and study its influence on clinical efficacy. METHODS:Sixty two CHD patients in the Nanchang Municipal First Hospital were randomly divided into psychological intervention group(n=31) and control group(n=31).All the patients were treated with regular cardiovascular therapy,besides, those in the psychological intervention group received comprehensive psychotherapy for 3 weeks.Patients in both groups were assessed with self rating depression scale(SDS),self rating anxiety scale(SAS) and symptom checklist 90(SCL 90) before and after intervention respectively,and the clinical efficacy was compared between the two groups. RESULTS:From the 4th week,the scores of SDS and SAS in the psychological intervention group[(39.72±8.96), (40.46±5.63)] were significantly lower than those in the control group(t=3.70,5.88;P< 0.01). There were significant differences in the score differences of SDS and SAS between the two groups(t=4.33,4.58; P< 0.01).The number of positive items, somatization and hostility scores in SCL 90 were significantly lower in the psychological intervention group than in the control group(t=3.66,8.28,2.01;P < 0.01).The hospitalised duration in the psychological intervention group[(34±8) days] was markedly shorter than that in the control group(χ2=6.78,P< 0.05),the general evaluation of clinical efficacy was also better in the psychological intervention group than in the control group. CONCLUSION:Psychotherapy can obviously decrease the severity of depressive and anxious emotions,and improve the clinical efficacy.
出处
《中国临床康复》
CSCD
北大核心
2005年第8期40-41,共2页
Chinese Journal of Clinical Rehabilitation
