摘要
目的：探讨心理干预对老年心衰病人的影响。方法：将我院2009年11月到2010年12月接收的老年心衰患者100例，随机分为常规治疗组（常规组）和心理干预组（干预组），每组50例，常规组进行心衰的常规治疗和护理；干预组在常规治疗和护理的基础上进行心理干预，在入院前和出院时使用汉密顿抑郁量表（HAMD）和焦虑量表（HAMA）进行评定，并比较两组的临床疗效和住院时间，调查患者对于护理的满意度，观察心理干预在老年心衰病人中的作用。结果：治疗后，干预组的HAMD和HAMA值明显低于常规组（P〈0．05）；两组疗效和住院时间比较，干预组均优于常规组（P〈0．05）；干预组患者的满意度明显高于常规组（P〈0．05）。结论：对老年心衰病人进行相应的心理干预，能够使患者摆脱不良心理对疾病的影响，有利于患者的恢复。
Objective： To investigate the psychological intervention effects in elderly heart failure patients. Methods： The hospital in November 2009 to December 2010 received 1130 eases of elderly patients with heart failure were randomly divided into conventional treatment group （conventional group） and the psychological intervention group （intervention group） 50 cases, the conventional group Conventional heart failure treatment and care; intervention group were based on treatment and care psychological intervention prior to admission and discharge in the use of Hamilton Depression Rating Scale （HAMD） and Anxiety Scale （HAMA） were assessed and compared The elinieal efficacy and length of hospital stay, the survey of patients satisfaction with the care, observation of psychological intervention in elderly patients with heart failure in the role. Results： After treatment, HAMD and HAMA in the intervention group was significantly lower than the conventional group （P 〈0.05）; the two groups compared the efficacy and duration of hospitalization, the. intervention group were better than the conventional group （P 〈0.05）; intervention group, patient satisfaction significantly higher than the conventional group （P 〈0.05）. Conclusion： Elderly patients with heart failure and make the appropriate psychological intervention, which enable patients to get rid of bad psychological impact of the disease, is conducive to the recovery of patients.
关键词
老年心衰
心理干预
影响
Elderly heart failure
Psychological intervention
Influence.
