Effect of psychological evaluation and intervention on patients with acute coronary syndrome
- VernacularTitle:急性冠脉综合征患者的心理评估及心理干预
- Author:
Li SHI
;
Jianxiong LIU
;
Chaohui LI
;
Huaili BI
;
Shaoqin LIAO
;
Yuan LIU
- Publication Type:Journal Article
- Keywords:
acute coronary syndrome, psychological evaluation, psychogenic disturbance, depression, psychological intervention
- From:
Chinese Journal of Rehabilitation Theory and Practice
2005;11(6):433-434
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the effects of psychological intervention on patients with acute coronary syndrome (ACS) accompanied by psychogenic disturbance.Methods112 patients with ACS were evaluated with depression status inventory (DSI) and symptom checklist-90 (SCL-90). The cases accompanied with depression were randomly divided into the psychological intervention group (group A) and drug group (group B). Patients of group A were treated with psychological intervention besides routine therapy. The curative effects of the two groups were compared.Results79 cases (70.5%) had depression. Their scores of somatization, depression, anxiety, fear, paranoid ideation, and total score and positive symptom distress level of SCL-90 were significantly different compared with the normal group. After psychological intervention, to patients of the group A, the DSI score fell and symptoms improved significantly (P<0.01), the in-patient duration shorten (P<0.05).ConclusionPsychogenic factors is not neglectable in the process and prognosis of ACS. Effective psychological intervention can promote the patient's healing.
