CAJ | 학술논문

目的：了解老年冠状动脉粥样硬化性心脏病（冠心病）患者中焦虑/抑郁心理状况的流行情况。方法入选老年冠心病患者164例及同期体检正常对照组患者40例，使用统一问卷调查表，包括一般资料问卷表、焦虑自评量表（SAS）及抑郁自评量表（SDS），均采取面询的方式，统一指导语和填表方法，在患者入院后一周内完成问卷调查。结果164例老年冠心病患者，44例（26.8%）存在焦虑，54例（32.9%）存在抑郁，其中24例（14.6%）患者合并有焦虑、抑郁心理障碍。老年冠心病组患者较对照组患者焦虑、抑郁评分显著升高，差异有统计学意义（P＜0.05）。老年冠心病患者焦虑、抑郁评分成正相关，相关系数r=0.352，P＜0.05。结论冠心病患者较非冠心病人群焦虑、抑郁严重程度高；老年冠心病患者焦虑与抑郁具有一定相关性。
목적：료해노년관상동맥죽양경화성심장병（관심병）환자중초필/억욱심리상황적류행정황。방법입선노년관심병환자164례급동기체검정상대조조환자40례，사용통일문권조사표，포괄일반자료문권표、초필자평량표（SAS）급억욱자평량표（SDS），균채취면순적방식，통일지도어화전표방법，재환자입원후일주내완성문권조사。결과164례노년관심병환자，44례（26.8%）존재초필，54례（32.9%）존재억욱，기중24례（14.6%）환자합병유초필、억욱심리장애。노년관심병조환자교대조조환자초필、억욱평분현저승고，차이유통계학의의（P＜0.05）。노년관심병환자초필、억욱평분성정상관，상관계수r=0.352，P＜0.05。결론관심병환자교비관심병인군초필、억욱엄중정도고；노년관심병환자초필여억욱구유일정상관성。
Objective To understand the epidemiologic state of anxiety and depression in elderly patients with coronary heart disease (CHD), and discuss the correlation between anxiety and depression. Methods The unified questionnaire [including general information questionnaire, self-rating anxiety scale (SAS) and self-rating depression scale (SDS)] were completed by patients within 1 w after hospitalization through interview, unified instruction and form-filling method. Results Among 164 elderly patients with CHD, 44 (26.8%) had anxiety, 54 (32.9%) had depression and 24 (14.6%) had both anxiety and depression. Conclusion The severity of anxiety and depression is higher in CHD patients than that in non-CHD patients. There is correlation between anxiety and depression in elderly patients with CHD.