毛娟娟 叶双樱

[摘要] 目的 探讨心理护理干预对冠心病合并抑郁患者抑郁程度及生活质量的影响。 方法 将96例冠心病合并抑郁患者随机分为观察组和对照组，各48例，对照组给予心内科常规护理，观察组在对照组护理基础上给予心理护理干预，观察两组患者抑郁程度、生活质量改善情况。 结果 观察组患者治疗1个月后SDS评分明显低于对照组（P<0.05）；观察组患者治疗1个月后生活质量评分明显高于对照组（P<0.05）；观察组患者1个月内心绞痛发生率为22.92%，显著低于对照组的52.08%（P<0.05）。 结论 心理护理干预可改善冠心病合并抑郁患者抑郁程度，提高其生活质量。

[关键词] 冠心病；抑郁；心理护理；生活质量

[中图分类号] R473.7 [文献标识码] B [文章编号] 1673-9701（2015）23-0139-04

Influence of psychological nursing intervention on depression degree and quality of life for patients with coronary heart disease associated with depression

MAO Juanjuan1 YE Shuangying2

1.Department of Geriatrics， Lishui Second People's Hospital， Lishui 323000， China； 2.Department of Internal Medicine， Lishui Second People's Hospital， Lishui 323000， China

[Abstract] Objective To investigate the influence of psychological nursing intervention on the depression degree and quality of life for patients with coronary heart disease associated with depression. Methods Ninety-six patients with coronary heart disease associated with depression were randomly divided into the observation group and the control group， with 48 patients in each group. The control group was given conventional nursing of the cardiology department and the observation group was given psychological nursing intervention on the basis of the control group. The depression degree and quality of life of the two groups of patients were observed. Results After 1 month of treatment， the SDS score of the observation group was significantly lower than that of the control group（P<0.05）. After 1 month of treatment， the quality of life of the observation group was significantly higher than that of the control group（P<0.05）. The incidence of angina of the observation group within 1 month was 22.92%， which was significantly lower than the 52.08% of the control group（P<0.05）. Conclusion Psychological nursing intervention can improve the depression degree and quality of life of the patients with coronary heart disease associated with depression.

[Key words] Coronary heart disease； Depression； Psychological nursing； Quality of life

冠心病是临床常见的心血管疾病之一，属终身性慢性疾病。相关研究显示，冠心病患者多伴有不同程度的抑郁状态，不仅增加了此类患者危险性，同时严重影响了其生活质量[1]。心理护理是通过心理干预改善患者错误认知、减轻患者心理负担的一种优质护理服务[2]。笔者近年来对收治的冠心病并抑郁患者实施了心理护理干预，有效改善了其抑郁程度，提高了其生活质量。本研究观察通过心理护理干预对冠心病合并抑郁患者抑郁程度及生活质量的影响，并与未给予心理干预的患者进行对比分析，旨在探讨心理护理干预在冠心病合并抑郁患者中的应用效果，现报道如下。

1 资料与方法

1.1 一般资料

研究观察对象96例，来自2014年3月～2015年3月期间在我院住院治疗的冠心病患者，全部纳入对象均符合缺血性心脏病相关诊断标准[3]，入院后经抑郁自评量表（SDS）评定评分均在40分以上。采取随机数字表法将96例患者进行随机分组，观察组48例中男26例，女22例；……