| 【Objective】1.To investigate the situation of anxiety and depression in patients with coronary heart disease in the Department of Cardiology of our hospital,and analyze the influencing factors of anxiety and depression in patients with coronary heart disease,so as to provide experience for clinicians in the diagnosis of double heart disease and reduce the rate of missed diagnosis of double heart disease.2.To explore the effects of double-heart intervention on psychological problems and quality of life of hospitalized patients with coronary heart disease complicated with anxiety and depression,and to provide experience for clinicians of cardiology in the treatment of coronary heart disease complicated with anxiety and depression,【Methods】Part Ⅰ: 190 inpatients diagnosed with CHD in the Department of Cardiology of our hospital from April 2020 to October 2020 were selected as the investigation objects.Within 3 days after admission,SAS and SDS scale were used to conduct psychological problems investigation.According to the evaluation results,the patients were divided into the anxiety and depression group and the non-anxiety and depression group,and the general baseline data,SAS score and SDS score of the patients were collected.SPSS25.0 statistical software was used to analyze the incidence of anxiety and depression in patients with CHD in the Department of Cardiology and its influencing factors through the chi-square test,rank sum test,independent sample t-test and binary Logistic statistical analysis.Part Ⅱ: A total of 100 hospitalized CHD patients with mild to moderate anxiety and depression confirmed by SAS and SDS screening from April 2020 to December 2020 were included in this study.they were sorted by admission number,and divided into experimental group and control group with 50 patients in each group.The control group was given coronary heart disease standard drugs and necessary interventional therapy and other conventional treatment,the experimental group was given a two-heart intervention combined with int ensive health education,cognitive therapy,exercise therapy,relaxation training,drug intervention on the basis of conventional treatment.SAQ evaluation was completed in all enrolled patients before intervention.SAS,SDS and SAQ scores were evaluated again after 1 month of intervention and 3months after intervention.SPSS25.0 statistical software was used to analyze the psychological problems and the improvement of quality of life of hospitalized patients with CHD complicated with anxiety and depression by single factor analysis of variance(ANOVA),multiple analysis of variance(ANOVA),the chi-square test,rank sum test,independent sample t-test.【Results】Part Ⅰ:1.Among 190 hospitalized patients with CHD,91 patients were complicated with anxiety and depression,among which the incidence of anxiety was 32%,the incidence of depression was 25.79%,and the incidence of anxiety and depression was 14.21%.2.There were statistically significant differences between the anxiety and depression group and the non-anxiety and depression group in the gender,marital status,education level,occupation,payment method,diabetes,sleep disorder,diagnosis and interventional treatment(P<0.05).There was no significant difference among ethnic,age,hypertension,hyperlipidemia,homocysteinemia,smoking,body mass index,LVEF(P>0.05).3.Binary Logistic analysis showed that the occurrence of anxiety and depression in patients with CHD was positively correlated with acute myocardial infarction,diabetes mellitus,sleep disorder and the payment methods of residents’ medical insurance(P<0.05,Exp(B)>1).Part Ⅱ:1.Anxiety and depression1)The anxiety of 33 patients in the experimental group was relieved in 19 cases(57.58%)after 1 month intervention while in 28 cases(84.84%)after 3 months intervention.In the control group,36 cases had anxiety,8 cases(22.22%)relieved after 1 month intervention,and 17 cases(47.22%)relieved after 3 months intervention.In the experimental group,there were 22 cases of depression,13 cases(59.09%)relieved after 1 month intervention,and 19 cases(86.67%)relieved after 3 months intervention.27 cases of depression in the control group,5 cases(18.51%)relieved after 1 month intervention,10 cases(37.04%)relieved after 3 months intervention.After intervention,anxiety and depression were relieved in two groups,and the difference between the experimental group and the control group was significant(P<0.05).2)SAS score There were statistical differences in SAS scores in the two intra-groups(P<0.05).there was no significant difference in SAS scores between the two groups before intervention(P > 0.05).The difference of SAS score after 1 of month intervention and 3 months of intervention was statistically significant(P <0.05),the experimental group was lower than the control group.3)SDS score There were statistical differences in SDS scores in the two intra-groups(P < 0.05).There was no significant difference between two groups before intervention and after 1 month of intervention(P>0.05),while after 3 months of intervention,the difference was statistically significant(P < 0.05),SDS of the experimental group was significantly lower than that of the control group.2.SAQ score of patients in the two groups after intervention1)There were statistically significant differences in PL scores in the two intra-groups(P < 0.05).There was no significant difference between two groups before intervention and after 1 month of intervention(P>0.05),while After 3 months of intervention,the difference was statistically significant(P < 0.05),PL in the experimental group was significantly higher than that in the control group.2)There was no statistically significant difference in AS scores in the two intra-groups(P > 0.05).There was no significant difference between two groups before intervention and after 1 month of intervention(P>0.05),while After 3 months of intervention,the difference was statistically significant(P < 0.05),AS in the experimental group was significantly higher than that in the control group.3)In the experimental group,AF scores after 1 month and 3 months of intervention were significantly different from those before intervention(P < 0.05).In the control group,AF scores after 3 months of intervention were significantly different from those before and after 1 month of intervention(P<0.05).There was no significant difference in AF scores between two groups before intervention(P > 0.05),while after1 month and 3 months intervention with statistically difference(P<0.05),AF scores in experimental group was significantly higher than that in control group.4)There was statistical difference in TS scores among the experimental group(P<0.05);There was no significant difference in TS scores among the control group(P>0.05).There was no significant difference in TS scores between two groups before intervention(P > 0.05),while after 1 month and 3 months intervention with statistically difference(P<0.05),TS scores in experimental group was significantly higher than that in control group.5)There were statistical differences in DP scores between the 2 intra-groups(P<0.05).There was no significant difference in DP scores between two groups before intervention(P > 0.05),while after 1 month and 3 months intervention with statistically difference(P<0.05),DP scores in experimental group was significantly higher than that in control group.【Conclusion】Part Ⅰ:1.Patients with CHD in the department of cardiology are prone to anxiety and depression.Clinicians should pay attention to the psychological status of inpatients with CHD.2.The incidence of anxiety and depression in patients with CHD was correlated with gender,education,marriage and occupational status,history of diabetes mellitus,stent implantation.3.Acute myocardial infarction,diabetes,sleep disorder and the payment method of resident medical insurance are the main influencing factors of anxiety and depression in patients with CHD.Clinicians should pay more attention to the psychological status of patients with CHD with the above-mentioned conditions.Part Ⅱ:1.Both standardized treatment of CHD and two-heart intervention can relieve the anxiety and depression of hospitalized patients with CHD complicated with anxiety and depression.Two-heart intervention combined with intensive health education,cognitive therapy,exercise therapy,relaxation training and drug intervention has a more significant effect.2.Both standardized treatment of CHD and double-heart intervention can improve the quality of life of hospitalized patients with CHD complicated with anxiety and depression,and double-heart intervention has a more significant effect. |
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