Study of psychological intervention for female acute myocardial infarction patients with anxiety depression
ZHANG Shu
CHENG Ren-li
MA Sheng-yu
XU Fei
Abstract：Objective To investigate the clinical features of female acute myocardial infarction(AMI)patients with psychological stress and to study application and clinical efficacy of psychological intervention for female patients with AMI.Methods One hundred and three female AMI patients were examined respectively by self-rating anxiety scale(SAS)and serf-rating depression scale(SDS),then baseline characteristics were compared between anxiety depression patients and non-anxiety depression patients.Sixty-eight cases of female AMI patients with anxiety depression were randomly divided into the interference group(34 cases)and the control group(34 cases).The patients in control group were given general medication,the patients in interference group were given psychological intervention as well as general medication.SAS and SDS were conducted before and after intervention.The complications were analysed.Results The patients with psychological stress were significantly older than the patients with non-psychological stress[(68.7±10.8)years vs(63.2±9.5)years,P<0.01]and low education level.Higher incidence of hypertension.diabetes mellitus and treatment-seeking delay were more common in patients with paychological stress than in patients with non-psychological stress[ 58.8%vs 37.1%,P<0.05;41.2%vs 20.0%,P<0.05;(7.9±5.8)h vs(5.1±3.6)h,P<0.01;respectively].After four weeks,the total scores of SAS,SDS in interference group were lower than those in control group[(39.7±6.1)scores vs(53.8±6.7)scores;(37.5±5.6)scores vs.(54.6±7.1)scores:all P<0.01 ].The occurrence rate of angina pectoris,heart failure and death were significantly less in interference group compared with control group(20.6%vs 44.1%:23.5%vs 47.1%;5.9%vs 23.5%;all P<0.05).Conclusions Compared with female AMI patients with no-psychological stress,female AMI patients with psychological stress have higher risk factor rates.Psychological intervention for female AMI patients can improve their anxiety and depression.
Keywords：Acute myocardial infarctionAnxietyDepressionFemalePsychological intervention
Publication Date：2010-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：3( 20-22 )