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老年高血压病并冠心病患者负性情绪评估及其综合干预

Evaluation on the negative emotions of aged patient with coronary artery disease associated with hypertension and its synthesis intervention

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【作者】 郭杰; 崔月丽; 孙少萍;

【Author】 GUO Jie, CUI Yue-li, SUN Shao-ping Qingdao Sanatorium of Shandong Province, Qingdao,Shandong,266071,China

【机构】 山东省青岛疗养院; 山东省青岛疗养院 山东青岛市266071; 山东青岛市266071;

【摘要】 目的:评估老年高血压病并冠心病患者抑郁、焦虑负性情绪情况,并观察综合干预的效果。方法:对60例老年高血压病并冠心病患者采用Zung抑郁自评量表(SDS)及焦虑自评量表(SAS)分别在入院时进行评估,然后进行6周的药物、心理和物理疗法的综合康复干预,并再次进行评估。结果:老年高血压病并冠心病患者存在不同程度的抑郁及焦虑,经6周综合干预后,SDS及SAS评分分别由57.34±8.57和49.97±6.82降为47.38±6.59和41.45±5.38(P<0.01),抑郁、焦虑发生率分别由78.3%和86.7%降为40%和65%(P<0.001,<0.01)。结论:老年高血压病并冠心病患者抑郁及焦虑负性情绪发生率高,药物、心理及物理疗法综合干预疗效好。

【Abstract】 Objective:To evaluate the depressed and anxious condition of the aged patients with hypertension associated with coronary artery disease(CAD), and observe the curative effect. Methods:The 60 cases with hypertension with CAD were examined by self-rating depression scale (SDS) and self-rating anxiety scale (SAS) after enter hospital, and all patients were treated with the medicines 、psychosomatic rehab and physiotherapy for six weeks, and then evaluated again. Results:The all patients had different depressed and anxious,after six weeks treat the SDS and SAS from 57.34±8.57 and 49.97±6.82 decreased to 47.38 +6.59 and 41.45±5.38 respectively(P<0.01), The occurrence rates of the depressed and anxious symptoms were from 78.3% and 86.7% to 40% and 65% respectively(P<0.001,<0.01). Conclusion:The occurrence rate of depressed and anxious of aged patients with hypertension and CAD is high.The synthesis treatment can obviously improve the depression and anxiety.

【关键词】 高血压病; 冠状动脉疾病; 抑郁; 焦虑;
【Key words】 Hypertension; Coronary artery disease; Depression; Anxiety;
  • 【文献出处】 心血管康复医学杂志 ,Chinese Journal of Cardiovascular Rehabilitation Medicine , 编辑部邮箱 ,2007年03期
  • 【分类号】R544.1;R541.4
  • 【被引频次】9
  • 【下载频次】99
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