首次入院与多次入院冠心病患者情绪障碍差异分析

摘要

Objective To analyze the emotional disorders in repeatedly admitled patients with coronary heart disease .Methods Thirty-three patients with coronary heart disease hospitalized for the first time and 37 patients with the same disease admitted to hospital for several times were investigated using self-made scale and Hamilton Anxiety Scale(HAMA).Results As compared with the patients admitted for the first time,the average HAMA score of those hospitalized for several times was lower without significant differences. The average total score of emotional disorder and disease-related psychology of the latter were higher than those of the former,while the score of social psychology was lower than that of the former.Conclusions There were differences in emotional status in patients with coronary heart disease between their first admission and readmission.And targeted psychological guidance should be conducted.%目的：了解不同入院次数的冠心病患者情绪障碍的特点。方法根据冠心病情绪障碍特点自行设计测评表，并采用汉密尔顿焦虑量表(HAMA)对33例首次入院与37例多次入院冠心病患者进行调查。结果与首次入院组相比，多次入院组 HAMA 评分较低，组间比较差异无统计学意义；多次入院组情绪障碍总分、疾病心理维度各得分高于首次入院组，而社会心理各维度得分低于首次入院组。结论对首次与多次入院冠心病患者应根据其各阶段不同的情绪状态，有针对性地辅以心理引导。