应对方式管理对哈尼族、彝族冠心病伴抑郁障碍患者生存质量的影响

发布时间：2018-03-03 16:31

  本文选题：抑郁障碍　切入点：冠心病　出处：《临床心血管病杂志》2016年08期 　论文类型：期刊论文

【摘要】：目的:了解红河州哈尼族、彝族冠心病患者合并抑郁障碍的发病情况及其所采取的应对方式的现况,探讨应对方式管理对哈尼族、彝族冠心病患者抑郁情绪与生存质量的影响。方法:应用一般情况调查表、综合性医院抑郁量表(HAD)、医学应对问卷(MCMQ)、健康状况问卷(SF-36)对204例哈尼族、彝族冠心病患者进行调查研究。将伴抑郁障碍的78例患者随机分为对照组38例,研究组40例,对研究组进行应对方式管理干预,比较干预前后两组患者的生存质量及抑郁情绪。结果:1红河州哈尼族、彝族冠心病患者抑郁障碍的患病率为38.24%。2与不伴抑郁障碍组相比,哈尼族、彝族冠心病伴抑郁障碍的患者更多使用的是消极的应对方式,差异具有统计学意义(P0.01)。3进行应对方式管理干预后研究组生存质量较前提高、亦明显高于对照组,差异有统计学意义(P0.01)。结论:红河州哈尼族、彝族冠心病患者伴发抑郁障碍有较高的患病率。冠心病伴发抑郁障碍可使哈尼族、彝族冠心病患者生存质量下降。对伴有抑郁障碍的患者进行应对方式的管理干预,可提高冠心病患者的生存质量及身心健康水平。
[Abstract]:Objective: to investigate the prevalence of depression in patients with coronary heart disease (CHD) and the current situation of coping styles in Hani nationality and Yi nationality in Honghe Prefecture, and to explore the management of coping style in Hani nationality. The influence of depression and quality of life in patients with coronary heart disease in Yi nationality. Methods: 204 cases of Hani nationality were investigated with general situation questionnaire, general hospital depression scale, medical response questionnaire (MCMQ) and health status questionnaire (SF-36). 78 patients with depression were randomly divided into control group (n = 38) and study group (n = 40). Results the prevalence rate of depression was 38.24.2 in Hani nationality of Honghe Prefecture and Yi nationality before and after intervention, compared with that in Hani nationality without depression disorder group. The patients with coronary heart disease (CHD) and depression in Yi nationality were more likely to use negative coping styles, and the difference was statistically significant. The quality of life of the study group was significantly higher than that of the control group after intervention in coping style management. Conclusion: there is a high prevalence of depression in Hani nationality and Yi nationality in Honghe Prefecture. The quality of life of patients with coronary heart disease of Yi nationality was decreased, and the quality of life and the level of physical and mental health of patients with coronary heart disease could be improved by intervention of coping style in patients with depression disorder.
【作者单位】： 云南省红河哈尼族、彝族自治州第一人民医院心内科;
【分类号】：R541.4;R749.4
，

本文编号：1561809