中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2012年
21期
1498-1501
,共4页
李永斌%姚朱华%许振坤%马梅%曹月娟
李永斌%姚硃華%許振坤%馬梅%曹月娟
리영빈%요주화%허진곤%마매%조월연
冠状动脉疾病%抑郁%焦虑%因素分析%统计学
冠狀動脈疾病%抑鬱%焦慮%因素分析%統計學
관상동맥질병%억욱%초필%인소분석%통계학
Coronary disease%Depression%Anxiety%Factor analysis%Statistics
目的 探讨冠心病患者介入术后焦虑及抑郁情绪的变化特点及影响因素.方法 选择2009年1月至2010年12月于天津市人民医院心内科行冠脉介入治疗的396例患者进行12个月的随访,在患者出院前及术后12个月使用HADS量表对焦虑及抑郁情绪进行量化评分,评价其变化特点,并使用Logistic回归分析影响情绪变化的因素.结果 介入术后的焦虑同性别(P=0.003)、年龄(P=0.004)及是否为急性心肌梗死(P=0.009)相关,抑郁同是否为急性心肌梗死(P＜0.001)相关.随访12个月,分别有76.3％的患者焦虑状态稳定,79.5％的患者抑郁状态稳定,多因素分析表明,焦虑情绪恶化同是否有心血管不良事件( OR:1.323,95％ CI:1.026～1.705,P=0.031)、西雅图心绞痛评分(OR:0.870,95％ CI:0.772～0.981,P=0.023)、出院前焦虑评分(OR:1.228,95％ CI:1.053～1.432,P=0.009)相关,而抑郁程度恶化同出院前抑郁评分(OR:1.287,95％ CI:1.072～1.545,P=0.007)相关.结论 冠心病患者介入术后12个月绝大部分焦虑及抑郁状态稳定,围手术期充分沟通、术后有效控制心血管事件发生,可以缓解患者的不良情绪,改善生活质量.
目的 探討冠心病患者介入術後焦慮及抑鬱情緒的變化特點及影響因素.方法 選擇2009年1月至2010年12月于天津市人民醫院心內科行冠脈介入治療的396例患者進行12箇月的隨訪,在患者齣院前及術後12箇月使用HADS量錶對焦慮及抑鬱情緒進行量化評分,評價其變化特點,併使用Logistic迴歸分析影響情緒變化的因素.結果 介入術後的焦慮同性彆(P=0.003)、年齡(P=0.004)及是否為急性心肌梗死(P=0.009)相關,抑鬱同是否為急性心肌梗死(P＜0.001)相關.隨訪12箇月,分彆有76.3％的患者焦慮狀態穩定,79.5％的患者抑鬱狀態穩定,多因素分析錶明,焦慮情緒噁化同是否有心血管不良事件( OR:1.323,95％ CI:1.026～1.705,P=0.031)、西雅圖心絞痛評分(OR:0.870,95％ CI:0.772～0.981,P=0.023)、齣院前焦慮評分(OR:1.228,95％ CI:1.053～1.432,P=0.009)相關,而抑鬱程度噁化同齣院前抑鬱評分(OR:1.287,95％ CI:1.072～1.545,P=0.007)相關.結論 冠心病患者介入術後12箇月絕大部分焦慮及抑鬱狀態穩定,圍手術期充分溝通、術後有效控製心血管事件髮生,可以緩解患者的不良情緒,改善生活質量.
목적 탐토관심병환자개입술후초필급억욱정서적변화특점급영향인소.방법 선택2009년1월지2010년12월우천진시인민의원심내과행관맥개입치료적396례환자진행12개월적수방,재환자출원전급술후12개월사용HADS량표대초필급억욱정서진행양화평분,평개기변화특점,병사용Logistic회귀분석영향정서변화적인소.결과 개입술후적초필동성별(P=0.003)、년령(P=0.004)급시부위급성심기경사(P=0.009)상관,억욱동시부위급성심기경사(P＜0.001)상관.수방12개월,분별유76.3％적환자초필상태은정,79.5％적환자억욱상태은정,다인소분석표명,초필정서악화동시부유심혈관불량사건( OR:1.323,95％ CI:1.026～1.705,P=0.031)、서아도심교통평분(OR:0.870,95％ CI:0.772～0.981,P=0.023)、출원전초필평분(OR:1.228,95％ CI:1.053～1.432,P=0.009)상관,이억욱정도악화동출원전억욱평분(OR:1.287,95％ CI:1.072～1.545,P=0.007)상관.결론 관심병환자개입술후12개월절대부분초필급억욱상태은정,위수술기충분구통、술후유효공제심혈관사건발생,가이완해환자적불량정서,개선생활질량.
Objective To explore the involvement characteristics and influencing factors of anxiety and depression in patients after percutaneous coronary intervention (PCI). Methods A total of 396 patients undergoing PCI were investigated between January 2009 and December 2010.All of them completed the Hospital Anxiety and Depression Scale (HADS) before discharge and at 12 months post-PCI. We evaluated the involvement characteristics and used Logistic regression to analyze the influencing factors of mood changes.Results The relevant factors of post-PCI anxiety were gender ( P =0.003 ),age ( P =0.004) and acute myocardial infarction ( P =0.009 ) while depression was associated with acute myocardial infarction ( P ＜ 0.001 ).A 12-month follow-up study showed that anxiety remained stable in 76.3％ of patients while depression in 79.5％. Multi-factor analysis showed that factors of presence of adverse cardiovascular events ( OR:1.323,95％ CI:1.026-1.705,P =0.031 ),Seattle angina score ( OR:0.870,95％ CI:0.772-0.981,P =0.023 ) and anxiety scores at pre-discharge ( OR:1.228,95％ CI:1.053-1.432,P =0.009) were correlated with the deterioration degree of depression.And the factor associated with the deterioration of depression was the scores before discharge ( OR:1.287,95％ CI:1.072 ～ 1.545,P =0.007 ).Conclusion The levels of anxiety and depression remain stable in the majority of PCI patients at Month 12 post-PCI. Perioperative communication and effective control of postoperative cardiovascular events may ease a patient's negative emotions and improve their living quality.
