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冠心病患者焦虑抑郁现状及影响因素调查

Investigation of status and related factors on anxiety and depression in patients with coronary heart disease (with 226 cases analysis)

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【作者】 朱继芳李远琼陈朝蓉刘莉

【Author】 ZHU Ji-fang;LI Yuan-qiong;CHEN Chao-rong;LIU Li;Department of Cardiovascular Medicine,Affiliated Second Hospital, Chongqing Medical University;

【机构】 重庆医科大学附属第二医院心血管内科

【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(p<0.05);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 staus of anxiety and depression in patients with coronary heart disease and its related factors. Method: Random sampling to select 226 patients with coronary heart disease and 220 cases of healthy persons, using self-made questionnaire, self rating Anxiety Scale(SAS), self rating Depression Scale(SDS)and symptom checklist 90(SCL) conducted a questionnaire survey, then statistical analysis. Results: About the anxiety incidence rate is 71.68%, the depression incidence rate is 62.83% and all two is 29.20% in the coronary heart disease patients, while in the health person is 4.09%, 6.82% and 2.73%, there was significant difference(P < 0.05). Divorced and widowed, previous disease history, excessive positive to answer the coronary heart disease, family and friends do not care enough, poor income and so on is positive relation to anxiety and depression. Conclusion: There is high prevalence of anxiety, depression in patients with coronary heart disease. Divorced and widowed, previous disease history, excessive positive to answer the coronary heart disease, family and friends do not care enough, poor income and so on are the main factors causing anxiety and depression. Clinical staff should high attention and care.

【关键词】 冠心病焦虑抑郁
【Key words】 Coronary heart diseaseAnxietyDepression
【基金】 重庆市卫生局基金(2013-2-044)
  • 【分类号】R541.4;R749.7
  • 【被引频次】99
  • 【下载频次】532
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