老年冠心病患者焦虑抑郁现状调查

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(P0.05)。老年冠心病患者焦虑、抑郁评分成正相关,相关系数r=0.352,P0.05。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。

Current situation of anxiety and depression in elderly patients with coronary heart disease

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.