A Study On Psychological Assessment And Intervenetion For CHD Patients Complicated With Depression Ty Treated With PCI Or Conservative Treatment

Object:Based on psychological intervention in patients with coronary heart disease, understanding the effects of different treatment for depression; Improve the prevention awarenesss of patients to depressed mood disorders, and control of consciousness early diagnose and treat insist for a long time.Materials:The 68 Patients with coronary disease were diagnosed by coronary angiography (from August 2010 to January 2011). Accept SDS self-assessmen that selected coarse points 41-55. According to the illness and the doctor's suggested, patients choose to treatments whether conservative treatment or PCI independently. Then two groups of patients were randomly divided into psychological intervention group and no-psychological intervention group. All of the patients divided into four groups:no-psychological intervention treatment with conservative treatment(A), psychological intervention treatment with conservative treatment(B), no-psychological intervention treatment PCI(C), psychological intervention treatment with PCI(D). Before and after the intervention accept SDS and SCL-90, and compares four groups score results.Results:The first day of admission, compared the scores of SDS with the norms, both of four groups were higher, the results of Pairwise comparison between groups and the Variance analysis of pairwise is no significant difference (P>0.05). The seventh day of admission, compared the scores of SDS with the norms, both of four groups were higher, the results of Pairwise comparison between groups and the Variance analysis of pairwise is no significant difference (P>0.05) except the B group. The 90th day of admission, compared the scores of SDS with the norms, both of four groups were higher, the results of Pairwise comparison between groups (A and B, A and C, B and D) is significant difference(P<0.05), and the result of Variance analysis of pairwise is significant difference (P<0.05). SCL-90, the scores of relationship disorder, depression, phobias and the norm group is significant difference(P<0.05). Comparised between in the C and the D groups, the result is no significant difference (P<0.05). For no-psychological intervention treatment groups, the scores of hostility and another that comparised between the conservative group and PCI group is significant difference (P<0.05). Both of the PCI and the conservative group, scors of relationship disorder, anxiety, phobias is significant difference (P<0.05). Profile analysis of the SCL-90 in the groups after 90 days by SPSS, the result of "Multivariate Tests" is coincidence, the result of "Tests of Between-Subjects effects" is non-coincidence.Conclusion:Psychological intervention cannot completely eliminate depression in short term, but patients can be stabilized mood, reduce anxiety, depression, improved physical symptoms. PCI can't effectively improve symptoms of depression. Patients with coronary heart disease treatment options, will not affect the therapeutic effect of psychological intervention.