CAJ | 학술논문

目的：对老年急性冠脉综合征患者抑郁状态及护理进行分析研究。方法：选取2013年3月-2014年3月笔者所在医院接诊的70例老年急性冠脉综合征患者，采用老年抑郁量表(GDS)进行抑郁状态调查，对患者予以护理干预，采用汉密顿抑郁量表(HAMD)评定护理干预的效果。结果：本组70例急性冠脉疾病患者中无抑郁患者16例(22.9%)，轻度抑郁30例(42.9%)，中、重度抑郁24例(34.3%)，患者主要心理特征为恐惧、焦虑、悲观、孤独、自怜；护理干预后患者HAMD评分为(12.3±1.3)分，低于护理前(21.6±1.5)分，比较差异有统计学意义(P<0.05)。结论：老年急性冠脉综合征患者抑郁发生率较高，心理干预有助于改善老年急性冠脉综合征患者的抑郁状况，具有非常积极的临床应用价值。
목적：대노년급성관맥종합정환자억욱상태급호리진행분석연구。방법：선취2013년3월-2014년3월필자소재의원접진적70례노년급성관맥종합정환자，채용노년억욱량표(GDS)진행억욱상태조사，대환자여이호리간예，채용한밀돈억욱량표(HAMD)평정호리간예적효과。결과：본조70례급성관맥질병환자중무억욱환자16례(22.9%)，경도억욱30례(42.9%)，중、중도억욱24례(34.3%)，환자주요심리특정위공구、초필、비관、고독、자령；호리간예후환자HAMD평분위(12.3±1.3)분，저우호리전(21.6±1.5)분，비교차이유통계학의의(P<0.05)。결론：노년급성관맥종합정환자억욱발생솔교고，심리간예유조우개선노년급성관맥종합정환자적억욱상황，구유비상적겁적림상응용개치。
Objective:To analyze the depression and nursing method of elderly patients with acute coronary syndrome. Method:Seventy elderly patients with acute coronary syndrome from March 2013 to March 2014 in our hospital were investigated with geriatric depression scale (GDS).All patients were treated with nursing intervention for depression,the effect were assessed with Hamilton depression scale(HAMD).Result:There were 16 patients with no depression(22.9%), 30 patients with mild depression(42.9%),24 patients with moderate and severe depression(34.3%),the main psychological characteristics of patients were fear, anxiety,pessimism,loneliness,self-pity. After nursing,the HAMD score(12.3±1.3) of patients was lower than (21.6±1.5)score before nuring,the difference was statistically significant(P<0.05). Conclusion:Elderly patients with acute coronary syndrome has a higher incidence of depression,nursing intervention can contribute to improve the depression of elderly patients with acute coronary syndrome,and has very positive value for clinical application.