社区干预对老年心血管疾病患者焦虑、抑郁情绪的影响

摘要

目的：探讨社区干预对老年心血管疾病患者焦虑、抑郁情绪的影响效果。方法2014年5月至2015年6月选取滨州市某乡镇年龄大于或等于60岁老年人为研究对象，采用焦虑自评量表（SAS）和抑郁自评量表（SDS）对老年心血管疾病患者102例（干预组）及健康体检老年人103例（对照组）进行评分并统计分析。干预组实施社区干预3个月，复查SAS和SDS评分。结果干预组焦虑、抑郁发生率[45.1%（46/102）、40.2%（41/102）]均明显高于对照组[20.4%（21/103）、17.5%（18/103）]，差异有统计学意义（P<0.01）；社区干预3个月后，干预组SAS、SDS评分均较干预前降低，差异有统计学意义（P<0.01）。结论老年心血管疾病患者存在不同程度的焦虑、抑郁情绪，社区干预可明显改善患者的心理状况，提高老年人生活质量。%Objective To investigate the effect of community intervention on anxiety and depression in elderly patients with cardiovascular disease. Methods A total of 102 elderly patients with cardiovascular disease (intervention group)aged 60 years old or more and 103 elderly persons undergoing the physical examination (control group)in a township of Binzhou city From May 2014 to June 2016 were selected as the research subjects and evaluated by adopting the Self-rating Anxiety Scale (SAS)and Self-rating Depression Scale(SDS) for conducting statistical analysis. The intervention group was implemented the 3-month commu-nity intervention. Then SAS and SDS scores were re-measured. Results The incidence rates of anxiety and depression were 45.1%(46/102) and 40.2%(41/102) in the intervention group,which were significantly higher than 20.4%(21/103) and 17.5%(18/103) in the control group respectively,the differences were statistically significant(P<0.01). After 3-month community inter-vention,the scores of SAS and SDS in the intervention group were decreased compared with before intervention ,the difference was statistically significant(P<0.01). Conclusion Elderly patients with cardiovascular disease suffer from varying degrees of anxiety and depression and the community intervention can significantly improve their psychological status and increase the quality of life.