| Objective:To explore the effect of the bentative medical model on the psychological state,clinical efficacy and quality of life of elderly patients with coronary heart disease angina pectoris with anxiety and depression,and to provide reference for the implementation of bentative medical model in such patients.Methods:After July 1,2016,100 cases of angina pectoris combined with anxiety and depression were admitted to the First Hospital of Nanchang City and the People's Hospital of Jiangxi Province.All patients met the diagnostic criteria for angina pectoris type coronary heart disease formulated by the World Health Organization in October 1997.Hamilton scored more than 7 on 14 anxiety scales and more than 8 on 24 depression scales.The intercardiology and intercardiology were randomly divided into two types: intercardiology model intervention area(experimental group)and non-intercardiology model intervention area(control group).Both groups of patients were given routine treatment and nursing care for coronary heart disease.On this basis,the experimental group used the bipolar medicine model to intervene.The intervention method was relaxation therapy combined with exercise therapy in psychological intervention.The Zung Depression / Anxiety Self-Assessment Scale(SDS / SAS)score was performed before and after the intervention in both groups of patients.The results of angina pectoris and electrocardiogram were observed.At the same time,the quality of life of two groups of patients was evaluated by the Seattle angina pectoris scale(SAQ)after intervention.In this study,EpiData 3.1 was used to establish a database and perform double entry.SPSS22.0 was used for data statistical analysis.All the tests were bilateral and P <0.05 was statistically significant.Results:(1)After the intervention of the bipolar medical model,the SAS score of the experimental group was 52.15 ± 6.88,and the SDS score was 53.70 ± 6.00;The SAS score in the control group was 55.79 ± 7.13,and the SDS score was 55.76 ± 6.83.The SAS and SDS scores in the experimental group were lower than those in the control group,and the difference was statistically significant(P < 0.05).(2)The pretreatment anxiety rate was 65 % and 68 % respectively,and the depression rate was 69 % and 64 % respectively.Post-treatment anxiety rate was 36 % and 56 %,depression rate was 41 % and 52 %,respectively.The anxiety rate and depression rate were lower in the experimental group than in the control group.The difference was statistically significant(P< 0.05).(3)After diagnosis and treatment,the total effective rate(effective and effective)of angina pectoris in the experimental group and the control group was 83 % and 67 %,respectively,and the total effective effect(effective and effective)of electrocardiogram was 81 % and 64 %,respectively.The efficacy of angina pectoris and ECG in the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).(4)In the two groups of patients with SAQ score,the activity restriction test group scored 42.2 ± 6.8,the control group scored 39.5 ± 6.7,the treatment satisfaction test group scored 16.2 ± 4.1,and the control group scored 14.9 ± 4.4.The disease cognitive test group scored 11.3 ± 2.5,the control group scored 10.2 ± 2.7,the angina attack test group scored 9.2 ± 2.4,the control group scored 8.5 ± 2.6,the angina stability test group scored 5.1 ± 0.9,and the control group scored 4.7 ± 0.8,The SAQ total score was 82.4 ± 11.1 in the test group and 78.6 ± 12.2 in the control group.The test scores and SAQ total scores in the test group were higher than those in the control group.The difference was statistically significant(P<0.05).Conclusion:(1)The bipolar medicine model can effectively reduce the degree of psychological disorder in elderly patients with coronary heart disease and anxiety and depression,and improve the symptoms of anxiety and depression in patients.(2)The bipolar medical model can improve the clinical treatment effect and angina control rate of patients,which is conducive to the recovery of elderly patients with coronary heart disease angina pectoris combined with anxiety and depression.(3)The bipolar medical model can reduce the limitation of physical activity in elderly patients with coronary heart disease angina,reduce the incidence of angina,maintain the stability of angina,improve the patient's treatment satisfaction and disease cognition,and promote the prognosis of the disease.(4)Psychological intervention in elderly patients with coronary heart disease and angina can not only reduce the symptoms of anxiety and depression,but also improve the quality of life of patients. |
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