Influence of psychological intervention on quality of life in elderly patients with coronary heart disease complicating depressive

LIU Hui; XIA Chang-quan; ZHANG Wei; WU Yun-tao; LV Jing-hui; ZHANG Ya-li

doi:10.3969/j.issn.1674-4055.2016.03.36

Abstract：Objective To investigate the application of psychological intervention and its influence on quality of life (QOL) in elderly patients with coronary heart disease (CHD) complicating depression.Methods The patients (n=86) were chosen from Jan. 2013 to Jun. 2015, and randomly divided into control group (n=40) given routine therapy and nursing, and observation group (n=46) given additionally effective psychological intervention for 8 w. The sores of anxiety and depression were compared by using Hamilton Depression Scale (HAMD) and self-rating depressive scale (SDS) between 2 groups before and after intervention. The scores of QOL and nursing satisfaction degree were reviewed by using WHOQOL-HFFF before and after intervention.Results Before intervention, the scores of HAMD and SDS had no statistical difference in observation group (P>0.05). After intervention, the scores of HAMD and SDS were significantly lower in observation group than those in control group (P<0.05). The difference in scores of different factors in WHOQOL-HFFF had no statistical significance in 2 groups before intervention (P>0.05). After intervention, psychological field and field of social relations in WHOQOL-HFFF were significantly improved in observation group (P<0.05). The difference in WHOQOL-HFFF had no statistical significance in control group after intervention (P>0.05). The scores of QOL were significantly higher in observation group than those in control group after intervention (P<0.05). The nursing satisfaction degree was higher in observation group than that in control group (95.65%vs. 82.50%,P<0.05).Conclusion Psychological intervention can significantly relieve the symptoms, and improve curative effect and QOL in elderly patients with CHD complicating depression.