Evaluation of psychological health status and interventions in patients with myocardial in farction

GE Ping; et al

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Evaluation of psychological health status and interventions in patients with myocardial in farction

更新时间：2024-01-17

- Evaluation of psychological health status and interventions in patients with myocardial in farction
- Journal of Chongqing Medical University Vol. 34, Issue 7, Pages: 961-963(2009)
- 作者机构：
  
  1. 重庆市第八人民医院心内科
  2. 重庆医科大学附属第一医院心内科
  3. 重庆医科大学附属第一医院临床研究中心
- 作者简介：
- 基金信息：
- DOI：
  CLC： R395.5
- Published：2009，
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[1]葛平,雷寒,柳青,黄玮.心肌梗塞患者心理卫生状况测评及心理干预[J].重庆医科大学学报,2009,34(07):961-963.

GE Ping, et al. Evaluation of psychological health status and interventions in patients with myocardial in farction. [J]. Journal of Chongqing Medical University 34(7):961-963(2009)
[1]葛平,雷寒,柳青,黄玮.心肌梗塞患者心理卫生状况测评及心理干预[J].重庆医科大学学报,2009,34(07):961-963. DOI：

GE Ping, et al. Evaluation of psychological health status and interventions in patients with myocardial in farction. [J]. Journal of Chongqing Medical University 34(7):961-963(2009) DOI：

摘要

目的:探讨心肌梗塞（Myocardial infarction

MI）患者的心理卫生状况及进行心理干预的临床意义。方法:87例患者随机分成对照组43例

干预组44例;对照组用常规内科治疗药物治疗

干预组内科药物治疗+心理干预+小剂量抗抑郁药百忧解;两组均进行症状自评量表

汉密尔顿抑郁量表测评及行为测评;3月后均随访心功能分级、射血分数及心血管事件发生率。结果:MI患者心理障碍发生率较高

达82.75%

以抑郁为主要表现;A型行为占62.07%

干预组心理障碍、心功能、射血分数较对照组明显改善

心血管事件发生率明显低于对照组。结论:MI患者普遍存在心理障碍

以抑郁为主要表现

在内科药物治疗同时进行心理干预

能有效缓解病情改善预后。

Abstract

Objective:To investigate the psychological health status and the intervention in patients with myocardial infarction. Methods:87 Patients with myocardial infarction were randomly divided into control group (n = 43) and psychological intervention group (n = 44). Both groups were assessed with Symptom checkist-90

Hamilton depression and behavior pattern test. The control group was treated with routine therapy. The psychological intervention group was treated with routine therapy

psychological intervention

and low dose fluoxetine hydrochloride. After three months of follow-up

New York Heart Association (NYHA) class

ejection fraction and the occurrence of adverse cardiac events were assessed. Results:The patients with myocardial infarction had high prevalence of psychological disorder (82.75%)

depression was the major symptoms (type-A behavior 62.07%). Compared with the control group

psychological disorder

NYHA class

and ejection fraction were significantly improved in the intervention group. Moreover

the occurrence of cardiac events was much lower than the control group. Conclusion:The patients with myocardial infarction had high prevalence of psychological disorder and the major symptoms were depression. The combination of routine therapy and psychological intervention may be effective at alleviation the symptoms and improvement the prognosis.

关键词

心肌梗塞心理卫生状况心理干预

Keywords

Myocardial infarctionPsychological health statuspsychological intervention

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Related Institution

Pediatric Research Institute,the Children’s Hospital,Chongqing Medical University,Ministry of Education Key Laboratory of Child Development and Disorders,China International Science and Technology Cooperation Base of China Development and Critical Disorders,Chongqing Key Laboratory of Pediatric

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重庆医科大学临床学院心内科

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