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目的 研究急性心肌梗塞 (AMI)患者的心理健康状况及心理障碍与严重心律失常、AMI后心绞痛等并发症的关系。方法 采用SCL 90和MMPI对 12 4例患者进行测查 ,将测查结果与中国常模进行比较 ;并将并发LOWN3级以上室性心律失常及AMI后心绞痛患者的测查结果与无并发症患者相比较。结果 表明AMI患者有焦虑、忧郁、多疑、恐怖、躯体症状和记忆、睡眠问题及个性改变。有上述并发症者多数分值明显高于无并发症患者。结论 提示AMI患者存在不良心理健康状况 ,并发严重心律失常和AMI后心绞痛患者甚于无并发症患者。
Objective To study the relationship between mental health and psychological disorders in patients with acute myocardial infarction (AMI) and severe complications such as arrhythmia and angina after AMI. Methods A total of 124 patients with SCL 90 and MMPI were enrolled in this study. The results were compared with those of normotensives in China. The results of patients with LVE level 3 or above and patients with post-AMI angina pectoris were compared with those without complications Compared. The results showed that patients with AMI had anxiety, depression, suspiciousness, horror, somatic symptoms and memory, sleep problems and personality changes. The majority of these complications were significantly higher than those without complications. Conclusions suggest that there is an adverse psychological state of AMI patients with severe arrhythmias and AMI patients with angina pectoris than without complications.