中华心血管病杂志
中華心血管病雜誌
중화심혈관병잡지
Chinese Journal of Cardiology
2014年
12期
1035-1038
,共4页
李果%姜荣环%郭成军%刘梅颜%张丽军
李果%薑榮環%郭成軍%劉梅顏%張麗軍
리과%강영배%곽성군%류매안%장려군
心血管疾病%精神障碍%门诊病人%患病率
心血管疾病%精神障礙%門診病人%患病率
심혈관질병%정신장애%문진병인%환병솔
Cardiovascular diseases%Mental disorders%Outpatients%Prevalence
目的 调查中国5城市(北京、上海、广州、成都、长沙)综合医院心内科门诊患者抑郁障碍和焦虑障碍的患病率.方法 本研究为以医院为基础的横断面调查,患者来自5个城市共14家三级甲等综合医院的心内科门诊.以指定调查日内年龄≥18岁、意识清楚、能独立回答问题并知情同意的就诊者为调查对象,顺序纳入.患者完成一般问卷、医院焦虑抑郁量表(HADS)的自评筛查;就诊科室医生在不了解筛查结果的情况下独立完成诊疗;由经过一致性培训的精神科医师对HADS≥8分的患者进行国际神经精神科简式访谈问卷(MINI)的诊断性评估.知情同意并完成筛查但拒绝MINI检查者按失访处理.结果 完成调查的患者2 123例.(1)经失访校正后现患总患病率:抑郁和焦虑4.05％ (86/2 123),抑郁或焦虑14.27％ (303/2 123),抑郁或焦虑或混合抑郁焦虑14.37％ (305/2 123).(2)经失访校正后的终生总患病率:抑郁和焦虑5.37％(114/2 123),抑郁或焦虑16.91％(359/2 123),抑郁或焦虑或混合抑郁焦虑17.00％(361/2 123).结论 综合医院心内科门诊患者焦虑、抑郁患病率高,应注意对抑郁焦虑的识别诊断.
目的 調查中國5城市(北京、上海、廣州、成都、長沙)綜閤醫院心內科門診患者抑鬱障礙和焦慮障礙的患病率.方法 本研究為以醫院為基礎的橫斷麵調查,患者來自5箇城市共14傢三級甲等綜閤醫院的心內科門診.以指定調查日內年齡≥18歲、意識清楚、能獨立迴答問題併知情同意的就診者為調查對象,順序納入.患者完成一般問捲、醫院焦慮抑鬱量錶(HADS)的自評篩查;就診科室醫生在不瞭解篩查結果的情況下獨立完成診療;由經過一緻性培訓的精神科醫師對HADS≥8分的患者進行國際神經精神科簡式訪談問捲(MINI)的診斷性評估.知情同意併完成篩查但拒絕MINI檢查者按失訪處理.結果 完成調查的患者2 123例.(1)經失訪校正後現患總患病率:抑鬱和焦慮4.05％ (86/2 123),抑鬱或焦慮14.27％ (303/2 123),抑鬱或焦慮或混閤抑鬱焦慮14.37％ (305/2 123).(2)經失訪校正後的終生總患病率:抑鬱和焦慮5.37％(114/2 123),抑鬱或焦慮16.91％(359/2 123),抑鬱或焦慮或混閤抑鬱焦慮17.00％(361/2 123).結論 綜閤醫院心內科門診患者焦慮、抑鬱患病率高,應註意對抑鬱焦慮的識彆診斷.
목적 조사중국5성시(북경、상해、엄주、성도、장사)종합의원심내과문진환자억욱장애화초필장애적환병솔.방법 본연구위이의원위기출적횡단면조사,환자래자5개성시공14가삼급갑등종합의원적심내과문진.이지정조사일내년령≥18세、의식청초、능독립회답문제병지정동의적취진자위조사대상,순서납입.환자완성일반문권、의원초필억욱량표(HADS)적자평사사;취진과실의생재불료해사사결과적정황하독립완성진료;유경과일치성배훈적정신과의사대HADS≥8분적환자진행국제신경정신과간식방담문권(MINI)적진단성평고.지정동의병완성사사단거절MINI검사자안실방처리.결과 완성조사적환자2 123례.(1)경실방교정후현환총환병솔:억욱화초필4.05％ (86/2 123),억욱혹초필14.27％ (303/2 123),억욱혹초필혹혼합억욱초필14.37％ (305/2 123).(2)경실방교정후적종생총환병솔:억욱화초필5.37％(114/2 123),억욱혹초필16.91％(359/2 123),억욱혹초필혹혼합억욱초필17.00％(361/2 123).결론 종합의원심내과문진환자초필、억욱환병솔고,응주의대억욱초필적식별진단.
Objective To explore the prevalence of depression and (or) anxiety disorders among cardiovascular outpatients of tertiary general hospitals of five Chinese cities.Methods A hospital-based cross-sectional survey was conducted in the cardiovascular out-patient departments of 14 tertiary general hospitals in five Chinese cities.The patients aged 18 years and over were recruited consecutively,who were conscious and with informed consent,and can finish the questionnaire independently.All the subjects were screened with Hospital Anxiety Depression Scale (HADS).The subjects with HADS score of 8 and over were interviewed and diagnosed by psychiatrists using mini international neuropsychiatric interview (MINI).The physicians made the diagnosis and management without knowing the results of MINI and HADS score.Subjects who refused MINI were defined as the case of loss of follow-up.Results A total 2 123 subjects were included in the survey.The adjusted prevalence rate of depressive and anxiety disorder was 4.05％ (86/2123),the depressive and/or anxiety disorder was 14.27 ％ (303/2 123),depressive and anxiety disorder and mixed depressive or anxiety disorder was 14.37％ (305/2 123) according to MINI.The adjusted prevalence of lifetime depressive and anxiety disorder was 5.37％ (114/2 123),depressive and/or anxiety disorder was 16.91％ (359/2 123),depressive and anxiety disorder and mixed depressive-anxiety disorder was 17.00％ (361/2 123).Conclusion There is a high prevalence of depressive and anxiety disorder among cardiovascular outpatients from tertiary general hospitals in China.Therefore,doctors must pay attention to this disorder and try to reduce the impact of this disorder in cardiovascular patients.
