CAJ | 학술논문

目的：调查三级甲等综合医院心血管内科门诊原发性高血压患者抑郁障碍的现患率及其相关因素。方法5名精神科专业人员对876例心血管内科门诊原发性高血压患者采用《美国精神疾病诊断与统计手册第四版》轴I精神障碍临床定式访谈中文版进行抑郁障碍的评估，并收集其社会人口学资料和临床特征因素。结果三甲医院门诊原发性高血压患者抑郁障碍的现患率为16.6%（145/876），高血压患者抑郁障碍的危险因素为女性（OR=2.817，95%CI：1.161~6.885）、年龄65岁及以上[以35~49岁为参照（OR=1.747，95%CI：1.118~2.688）]、无婚姻关系（OR=2.023，95%CI：1.203~3.398）、三级高血压[以一级为参照（OR=1.776，95%CI：1.226~2.333）]和冠心病（OR=2.018，95%CI：1.427~2.587）。结论三甲医院心血管内科门诊原发性高血压患者抑郁障碍患病率高，临床上需要予以重视。
목적：조사삼급갑등종합의원심혈관내과문진원발성고혈압환자억욱장애적현환솔급기상관인소。방법5명정신과전업인원대876례심혈관내과문진원발성고혈압환자채용《미국정신질병진단여통계수책제사판》축I정신장애림상정식방담중문판진행억욱장애적평고，병수집기사회인구학자료화림상특정인소。결과삼갑의원문진원발성고혈압환자억욱장애적현환솔위16.6%（145/876），고혈압환자억욱장애적위험인소위녀성（OR=2.817，95%CI：1.161~6.885）、년령65세급이상[이35~49세위삼조（OR=1.747，95%CI：1.118~2.688）]、무혼인관계（OR=2.023，95%CI：1.203~3.398）、삼급고혈압[이일급위삼조（OR=1.776，95%CI：1.226~2.333）]화관심병（OR=2.018，95%CI：1.427~2.587）。결론삼갑의원심혈관내과문진원발성고혈압환자억욱장애환병솔고，림상상수요여이중시。
Objective To investigate the current prevalence of depressive disorder and the associated factors in pa?tients with essential hypertensive from cardiovascular divisions of tertiary general hospitals. Methods A Chinese version of Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition) Axis I Disor?ders was conducted by five mental health professionals on 876 essential hypertensive outpatients at cardiovascular divi?sions of tertiary general hospital. Data on the socio-demographic and clinical characteristics of these hypertensive pa?tients were also collected. Results The current prevalence of depressive disorders among essential hypertensive outpa?tients of tertiary hospitals was 16.6%(145/876). Risk factors for depressive disorders in hypertensive patients included fe?male gender (OR=2.817, 95%CI:1.161~6.885), being 65-year-old and older (OR=1.747, 95%CI:1.118~2.688), non-marital status (OR=2.023, 95%CI:1.203~3.398), gradeⅢhypertension (OR=1.776, 95%CI:1.226~2.333) and car?diovascular diseases (OR=2.018, 95%CI:1.427~2.587). Conclusion Essential hypertensive outpatients, who receive med?ical services at cardiovascular divisions of tertiary general hospital, have high prevalence of depressive disorders. Clini?cians should pay more attention to the mental health of outpatients with essential hypertension.