CAJ | 학술논문

目的：探讨心理干预对老年急性冠脉综合征伴抑郁患者应对方式的影响效果。方法选取2012年2月～2013年6月我院收治的110例老年 ACS 患者随机分为观察组和对照组，对照组采用常规方法护理，观察组在对照组基础上加用心理干预，比较两组患者出院时焦虑、抑郁、依从性，并对两组患者随访1年统计心血管事件发生次数和死亡率。结果观察组焦虑、抑郁情绪评分均低于对照组，两组间各值比较差异有统计学意义（P ＜0.05）；观察组依从性优良率为94.55%明显高于对照组81.82%优良率，两组比较差异有统计学意义（P ＜0.05）；随访1年观察组心血管发生次数和死亡例数均明显少于对照组，两组比较差异有统计学意义（P ＜0.05）。结论老年急性冠脉综合征伴抑郁患者采用心理干预可减轻患者焦虑、抑郁不良情绪，提高患者依从性，减少心血管事件再次发生率和患者死亡率，具有显著临床应用效果。
목적：탐토심리간예대노년급성관맥종합정반억욱환자응대방식적영향효과。방법선취2012년2월～2013년6월아원수치적110례노년 ACS 환자수궤분위관찰조화대조조，대조조채용상규방법호리，관찰조재대조조기출상가용심리간예，비교량조환자출원시초필、억욱、의종성，병대량조환자수방1년통계심혈관사건발생차수화사망솔。결과관찰조초필、억욱정서평분균저우대조조，량조간각치비교차이유통계학의의（P ＜0.05）；관찰조의종성우량솔위94.55%명현고우대조조81.82%우량솔，량조비교차이유통계학의의（P ＜0.05）；수방1년관찰조심혈관발생차수화사망례수균명현소우대조조，량조비교차이유통계학의의（P ＜0.05）。결론노년급성관맥종합정반억욱환자채용심리간예가감경환자초필、억욱불량정서，제고환자의종성，감소심혈관사건재차발생솔화환자사망솔，구유현저림상응용효과。
Objective To explore the influence and effect on coping style of psychological intervention in elderly patients with acute coronary syndrome and depression. Methods 110 elderly patients with ACS who were admitted to our hospital from February 2012 to June 2013 were randomly divided into observation group and control group.The control group was treated with conventional nursing,and the observation group was further treated with psychological intervention.Anxiety,depression and compliance of two groups were compared.The cardiovascular events and mortality rate of two groups for 1 year follow-up were calculated. Results Scores of anxiety and depression of observation group were lower than those of control group,and the difference was statistically significant(P < 0.05).The excellent and good rate of compliance of observation group was 94.55%,which was significantly higher than 81.82% of control group,and the difference was statistically significant(P < 0.05).The number of cardiovascular events and death of observation group for 1 year follow-up was significantly smaller than that of control group,and the difference was statistically significant(P < 0.05). Conclusion Psychological intervention in elderly patients with ACS and depression can alleviate patients' anxiety and depression,and improve patients' compliance,so as to decrease reoccurrence rate of cardiovascular events and mortality rate,which has significant clinical application effect.