Yang Su, Gao Xiu-Mei, Li Su-Juan, Yang Xue
Health Management Center, The First Affiliated Hospital of Jinzhou Medical University, Jinzhou 121000, Liaoning Province, China.
Cardiology Four Area, The First Affiliated Hospital of Jinzhou Medical University, Jinzhou 121000, Liaoning Province, China.
World J Psychiatry. 2025 Jul 19;15(7):106762. doi: 10.5498/wjp.v15.i7.106762.
Coronary heart disease (CHD) has shown a consistent upward trend in global incidence in recent years. Notably, older adults with CHD complicated by arrhythmia exhibit significantly higher susceptibility to psychological distress compared with the general CHD population. This increased vulnerability has garnered growing clinical and research interest in the potential therapeutic benefits of structured psychological interventions for alleviating comorbid depressive and anxiety symptoms in this high-risk demographic.
To evaluate the efficacy of psychological care in reducing anxiety and depressive symptoms among older adult patients with CHD and comorbid arrhythmia.
This retrospective analysis included 100 patients with CHD and arrhythmia admitted to the First Affiliated Hospital of Jinzhou Medical University from June 2024 to December 2024. Of these, 49 patients in the control group received routine care, whereas 51 patients in the observation group received psychological care in addition to routine care. Therapeutic outcomes were compared between the two groups. Psychological distress was assessed before and after providing nursing care. A treatment compliance scale developed by the hospital was used to assess adherence. Complication rates were also compared. Quality of life was evaluated using the Short Form-36 Health Survey after providing nursing care. Patient satisfaction with nursing care was assessed using a self-designed questionnaire.
The observation group demonstrated a higher overall treatment effectiveness compared with the control group ( < 0.05). After nursing care, both groups showed reduced scores on the Self-Rating Anxiety Scale and Self-Rating Depression Scale compared with baseline ( < 0.05), with significantly greater improvements in the observation group ( < 0.05). Treatment compliance was higher and complication rates were lower in the observation group ( < 0.05). Additionally, the observation group demonstrated better quality of life after 1 month of care and higher satisfaction with nursing services ( < 0.05).
Psychological care for patients with CHD and comorbid arrhythmia effectively enhanced therapeutic outcomes, reduced anxiety and depression, improved treatment compliance and quality of life, and lowered the risk of complications. These findings support the broader implementation of psychological care for patients with CHD in clinical practice.
近年来，冠心病（CHD）的全球发病率呈持续上升趋势。值得注意的是，患有冠心病并伴有心律失常的老年人与一般冠心病患者相比，出现心理困扰的易感性显著更高。这种增加的易感性引发了临床和研究对结构化心理干预在减轻这一高危人群共病抑郁和焦虑症状方面潜在治疗益处的日益关注。
评估心理护理对患有冠心病并伴有心律失常的老年患者减轻焦虑和抑郁症状的疗效。
本回顾性分析纳入了2024年6月至2024年12月在锦州医科大学附属第一医院收治的100例冠心病合并心律失常患者。其中，对照组49例患者接受常规护理，而观察组51例患者在常规护理的基础上接受心理护理。比较两组的治疗效果。在提供护理前后评估心理困扰情况。使用医院自行编制的治疗依从性量表评估依从性。还比较了并发症发生率。在提供护理后，使用简短健康调查问卷（Short Form-36 Health Survey）评估生活质量。使用自行设计的问卷评估患者对护理的满意度。
与对照组相比，观察组的总体治疗效果更高（<0.05）。护理后，两组的自评焦虑量表和自评抑郁量表得分均较基线降低（<0.05），观察组的改善更为显著（<0.05）。观察组的治疗依从性更高，并发症发生率更低（<0.05）。此外，观察组在护理1个月后的生活质量更好，对护理服务的满意度更高（<0.05）。
对冠心病合并心律失常患者进行心理护理可有效提高治疗效果，减轻焦虑和抑郁，改善治疗依从性和生活质量，并降低并发症风险。这些发现支持在临床实践中对冠心病患者更广泛地实施心理护理。
