冠心病患者焦虑抑郁现状及影响因素调查

发布时间：2018-08-17 09:47

【摘要】：目的调查冠心病患者伴发焦虑、抑郁负性情绪的患病率及影响因素。方法随机抽样冠心病患者226例和体检健康者220例,采用自制一般情况调查表、焦虑自评量表(SAS)、抑郁自评量表(SDS)、症状自评量表(SCL)进行问卷调查,并进行统计学分析。结果冠心病患者焦虑发生率为71.68%,抑郁发生率为62.83%,两者兼有发生率为29.20%,体检健康者焦虑发生率为4.09%,抑郁发生率为6.82%,两者兼有发生率为2.73%,两者比较有显著差异(p0.05);离婚或丧偶、既往有其他疾病、过度积极应对冠心病、家庭朋友对自己关注度差、经济收入较差等因素与焦虑抑郁呈正相关。结论冠心病患者焦虑、抑郁患病率较高,离婚或丧偶、既往有其他疾病、过度积极应对、家庭朋友对自己关注度差、经济收入较差等因素是引起焦虑抑郁情绪的主要因素,应引起临床医护人员高度重视与关怀。
[Abstract]:Objective to investigate the prevalence and influencing factors of anxiety and depression in patients with coronary heart disease. Methods A total of 226 patients with coronary heart disease and 220 healthy persons were randomly selected and investigated with self-made general situation questionnaire, (SAS), self-rating anxiety scale, self-rating depression scale, (SDS), symptom checklist (SCL), and statistical analysis. Results the incidence of anxiety and depression in patients with coronary heart disease was 71.68 and 62.83, and the incidence of both was 29.20, the incidence of anxiety in healthy persons was 4.09, the incidence of depression was 6.82 and the incidence of both was 2.73. There was a significant difference between them (p0.05), divorce or widowhood. Other diseases, over active coping with coronary heart disease, poor attention of family and friends, poor financial income and other factors were positively correlated with anxiety and depression. Conclusion the main factors causing anxiety and depression are high prevalence of anxiety and depression in patients with coronary heart disease, divorce or widowhood, other diseases in the past, overactive coping, poor attention to oneself by family and friends, poor financial income and so on. It should be highly valued and cared by clinical medical staff.
【作者单位】：重庆医科大学附属第二医院心血管内科;
【基金】：重庆市卫生局基金(2013-2-044)
【分类号】：R541.4;R749.7

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