多学科干预对冠心病患者心理状态的影响研究

发布时间：2018-02-09 20:12

本文关键词： 冠心病焦虑抑郁健康教育　出处：《南京医科大学学报(自然科学版)》2017年12期 　论文类型：期刊论文

【摘要】：目的 :探讨多学科团队合作健康教育对门诊冠心病(coronary heart disease,CHD)患者焦虑抑郁等心理状态的干预效果。方法:随机选择南京市某医院126例门诊冠心病患者,实施1年多学科合作健康教育。采用9条目患者健康问卷(PHQ-9)、广泛性焦虑自评量表(GAD-7)和躯体症状群量表(PHQ-15)进行干预前后患者心理状况的评定。结果:干预前患者焦虑、抑郁及躯体症状困扰的检出率均较高。经多学科合作教育后,重度和轻度患者心理障碍症状的检出率均明显降低(P0.05)。干预后患者的冠心病知晓率(50.1%)、治疗率(38.9%)、血压达标率(9.1%)和血脂达标率(4.2%)均较基线水平有所提高。体重指数(BMI)、臀围、腰围和收缩压也都有明显改善(P0.05)。结论:多学科合作健康教育能在一定程度上改善CHD患者的多种危险因素,对缓解冠心病患者的焦虑抑郁、减少躯体症状困扰有积极作用。
[Abstract]:Objective: to investigate the effect of multi-disciplinary team health education on anxiety and depression in outpatients with coronary heart disease. Methods: 126 outpatients with coronary heart disease were randomly selected from a hospital in Nanjing. The patients' psychological status was evaluated before and after the intervention by 9 items of patient health questionnaire (PHQ-9), GAD-7 (generalized anxiety self-rating scale) and PHQ-15 (body symptom group scale). Results: patients were anxious before and after intervention. The detection rate of depression and somatic symptoms was higher. The detection rate of psychological disorders in severe and mild patients was significantly lower than that of baseline level. After intervention, the awareness rate of coronary heart disease was 50.1%, the treatment rate was 38.9%, the rate of blood pressure up to the standard was 9.1) and the rate of reaching the standard of blood lipids (4.2%) was higher than that of the baseline level, and the body mass index (BMI) and hip circumference (BMI, hip circumference) were higher than the baseline level. Both waist circumference and systolic blood pressure were significantly improved (P 0.05). Conclusion: multidisciplinary health education can improve the risk factors of patients with CHD to a certain extent, alleviate anxiety and depression in patients with coronary heart disease, and reduce somatic symptoms.
【作者单位】：南京林业大学综合门诊部;南京医科大学第一附属医院临床心理科;南京医科大学第一附属医院心内科;南京医科大学第一附属医院门诊部;南京医学大学公共卫生学院;
【基金】：江苏省高校自然科学研究面上项目(16KJD320001)
【分类号】：R541.4

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