老年冠心病患者抑郁情况及影响因素

发布时间：2018-07-31 07:17

【摘要】：目的探讨老年冠心病患者抑郁发病情况及影响因素。方法选取673例冠心病患者,采用问卷调查的方法调查其抑郁情况、社会支持、应对方式等,分析老年冠心病患者抑郁发病情况及影响因素,并分析与社会支持、应对方式的关系。结果出现不同程度抑郁症状376例(55.87%);单因素分析发现,性别、婚姻状况、医保情况、家庭人均月收入、病程、睡眠问题是影响患者患病的因素(均P0.05);多因素Logistic回归分析显示,女性、病程时间长、有睡眠问题是老年冠心病患者抑郁患病的危险因素,家庭收入高是抑郁患病的保护性因素。老年冠心病患者抑郁与客观支持、主观支持、支持利用度、积极应对呈负相关,与消极应对、混合应对呈正相关(P0.05)。结论老年冠心病患者抑郁患病率较高,应针对其进行社会支持及心理干预。
[Abstract]:Objective to investigate the incidence of depression in elderly patients with coronary heart disease and its influencing factors. Methods A total of 673 patients with coronary heart disease were investigated by questionnaire, including depression, social support and coping style. The incidence and influencing factors of depression in elderly patients with coronary heart disease were analyzed, and social support was analyzed. The relationship between coping styles. Results there were 376 cases (55.87%) with different degree of depressive symptoms. Univariate analysis showed that sex, marital status, health insurance, monthly income per family, duration of disease, sleep problems were the factors that affected the patients' illness (P0.05), and multivariate Logistic regression analysis showed that, Female, long course of disease, sleep problems are the risk factors of depression in elderly patients with coronary heart disease, high family income is the protective factor of depression. Depression was negatively correlated with objective support, subjective support, support utilization, positive coping, negative coping and mixed coping in elderly patients with coronary heart disease (P0.05). Conclusion the prevalence of depression in elderly patients with coronary heart disease is high, so social support and psychological intervention should be carried out.
【作者单位】：宁夏自治区人民医院心血管内科;
【基金】：宁夏卫生计生委项目(No.2013022)
【分类号】：R541.4

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