医院焦虑和抑郁量表在接受体外循环的患者中:一项意大利横截面研究
Gloria D'Angelo1, Silvia Caucci2, Alessandra Carminucci3
1Nursing Course, School fo Medicine, Università Politecnica delle Marche, "Mazzoni" Hospital, Ascoli Piceno.
概括
心脏手术患者在体外循环 (ECC) 后的焦虑和抑郁症显著减少. 在心脏康复中,由心理学家主导的干预有效降低了HADS得分,改善了手术后患者的情感福祉.
科学领域:
- 心脏病学 心脏病学
- 心理学 心理学 心理学
- 康复医学 康复医学 康复医学
背景情况:
- 心血管疾病 (CVD) 是全球主要的死亡原因.
- 心脏手术,尽管有诸如体外循环 (ECC) 这样的进步,但可以引起显著的情绪痛苦,包括焦虑和抑郁.
- 现有的文献将心血管疾病与焦虑和抑郁等心理健康状况联系起来.
研究的目的:
- 评估ECC心脏手术后患者焦虑和抑郁的患病率和严重程度.
- 评估心理教育干预对这些患者情绪状态的影响.
主要方法:
- 一个单中心,观察性,横截面研究,涉及100名接受ECC心脏手术的患者.
- 使用验证的医院焦虑和抑郁量表 (HADS) 问卷,在两个时间点 (T0和T1,间隔22天) 进行.
- 患者是康复心脏病科的组成部分,拥有多专业团队,包括提供心理教育干预的心理学家.
主要成果:
- 最初的HADS得分 (T0) 表示中度焦虑 (平均7.18) 和抑郁 (平均7.36).
- 在平均22天和干预后,HADS得分显著下降 (T1:焦虑平均2.03,抑郁平均2.87).
- 在T0和T1之间观察到HADS得分的统计显著下降 (p<0.05).
结论:
- 接受心脏外科手术的心脏外科手术患者经历了显著的焦虑和抑郁.
- 在心脏康复环境中,由心理学家进行的短期心理教育干预可以显著减少焦虑和抑郁症状.
- 综合心理支持对于改善心脏手术后患者的情绪恢复至关重要.
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