Abstract
Abnormal mental states of the CCU patients exert some negative influence upon cardiac intensive therapies in a CCU. Therefore, it is quite important for the CCU staff to understand mental states of the patients in order to offer accurate care to them.A psychiatric intervention was started on the CCU patients in the Nippon Medical School Hospital in May, 1978,as a part of our activities in consultation-liaison psychiatry programs.A research was conducted with the patients suffering from acute myocardial infarction(AMI) from September 1,1979 to August 31,1980 regarding their mental states.Of 135 AMI patients admitted to our CCU from September 1,1979 to August 31,1980,105 patients, 75 males and 30 females, ages from 29 to 84 were studied.Diagnostic procedure of mental states included psychiatric interviews and psychological tests (YG, MAS, JMI, Hasegawa DR Scale) during patient's stay in the CCU. Through these examinations, 105 patients with AMI were classified as follows : 37 patients were in anxiety states, 15 in depressive states, 9 in manic states, 9 in demented states, 2 with problematic behaviour, 1 in a hypochondriacal state, 1 in a postcardiotomy delirium-like state, 1 in a delirious state (nocturnal delirium), and 30 others in normal states.The purposes of this report are to elucidate the mental states of patients with AMI in the CCU and to classify mental states and case-histories of these CCU patients.It is emphasized that psychiatric intervention should be available in order to carry out adequate cardiac treatment for the AMI patients in the CCU.
