冠心病心衰患者抑郁、焦虑状况及相关因素的调查

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心衰,冠心病,焦虑,抑郁,患者
冠心病心衰患者抑郁、焦虑状况及相关因素的调查

梁燕仪;毕婧玮;蔡文玮;马绍骏;阮洪

【期刊名称】《中华现代护理杂志》【年(卷),期】2011(017)013

【摘要】Objective To understand the incidence of depression and anxiety in heart failure patients with coronary heart disease (CHD), in this paper, I will analyze the relationship with factors and depression, anxiety,and compare the different grades of depression and anxiety in heart failure patients with CHD for cardiac functional insufficiency, so as to provide a basis for clinical intervention. Methods Questionnaires of general information, Zung Self-rating Anxiety Scale (SAS) and serf-rating

depression scale (SDS), were used to perform a survey on 90 heart failure patients with CHD in CCU, the first and second ward of department of cardiology and the department of elderly, in Shanghai Jiaotong University affiliated ninth people' s hospital. Results The depression level (48.64 ±10.05 ), anxiety level (48.10 ± 8.47) of patients with coronary heart disease were higher than the norm (33.46 ±8.55,29.78 ± 10.07 ;t = 14. 337,20. 530;P <0. 01 )..The incidence of anxiety was 72.22%, SDS rough point ≥40 points in 61 cases. The incidence of depression was 67.78%, and the rate of coexistence of depression and anxiety was 65.56%. The level of depression and anxiety in patients with coronary heart disease varies with age, educational attainments, duration of disease, and place of residence,

marriage, family supports and financial conditions( P < 0. 05 ). The higher the level of cardiac function in patients with coronary heart disease, the higher of depression and anxiety scores ( F = 10. 609,11. 957 ; P < 0. 01 ). Conclusions Patients with coronary heart disease are more likely to have depressive and anxious emotions, so the poor cardiac function in patients will worse their depression and anxiety conditions. In conclusion, it is of great significance to early identify depression and anxiety emotions of patients of different grades of cardiac functions and take effective psychological intervention for the treatment and prognosis of diseases, which will ultimately improve the quality of our lives.%目的了解冠心病心衰患者抑郁、焦虑的发生情况,分析各种因素与其抑郁、焦虑的关系,并比较不同心功能分级的冠心病患者抑郁、焦虑情况,为临床干预提供依据.方法采用自设的一般资料调查表、Zung焦虑自评量表(SAS)和抑郁自评量表(SDS)对90名冠心病心衰患者进行问卷调查,分析其结果.结果冠心病心衰患者的抑郁得分(48.64±10.05)分、焦虑得分(48.10±8.47)分均高于中国常模(33.46±8.55,29.78±10.07)分,差异有统计学意义(t分别为14.337、20.530,P<0.01),其中SAS>40分65例,焦虑情绪的发生率为72.22%,SDS≥40分61例,抑郁情绪的发生率为67.78%,抑郁和焦虑并存的发生率为65.56%.冠心病心衰患者的抑郁、焦虑情绪与年龄、文化程度、病程长短、居住地、婚姻、家庭支持及经济状况有关(P<0.05).心衰越严重者,其抑郁、焦虑分值也越高(F分别为10.609、11.957,P<0.01).结论冠心病心衰患者的抑郁、焦虑情绪发生率较高,心功能越差的患者其抑郁、焦虑情况也相应加重.因此,针对不同心功能分级的冠心病患者,尽早识别患者的抑郁、焦虑情绪并实施有效地心理干预对疾病的治疗、预后及改善生活质量有着重要的意义. 【总页数】4页(P1493-1496)

【作者】梁燕仪;毕婧玮;蔡文玮;马绍骏;阮洪

【作者单位】200011 上海交通大学附属第九人民医院老年科病房;200011 上海交通大学附属第九人民医院老年科病房;200011 上海交通大学附属第九人民医院老年科病房;200011 上海交通大学附属第九人民医院老年科病房;200011,上海交通大学附属第九人民医院护理部【正文语种】中文【相关文献】

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