700例心血管住院患者抑郁焦虑现状及影响因素分析

目的了解心血管住院患者抑郁、焦虑现状及其影响因素。方法对700例心血管疾病住院患者采用抑郁自评量表（SDS）、焦虑自评量表（SAS）进行自填式问卷调查。结果患者抑郁、焦虑发生率为47.86%,单纯抑郁发生率为17.29%,单纯焦虑发生率为26.71%,患者的抑郁、焦虑评分分别为（40.37±7.92）分和（42.18±7.42）分。多因素分析显示,工作压力（OR=1.923）、性别（OR=1.572）、近3个月服药种数（OR=1.496）、现患心血管疾病种数（OR=1.425）、病程（OR=1.298）、文化程度（OR=1.216）是患者抑郁的影响因素。工作压力（OR=2.021）、性别（OR=1.753）、近3个月服药种数（OR=1.693）、现患心血管疾病种数（OR=1.516）、病程（OR=1.412）是患者焦虑的影响因素（P〈0.05或P〈0.01）。结论心血管住院患者有较高的抑郁、焦虑发生率,应采取心理干预促进患者疾病康复。

The status and influential factors of depression and anxiety among 700 cardiovascular inpatients

Objective To explore the incidence of anxiety and depression and its influential factors of the cardiovascular patients. Methods Totally 700 cardiovascular patients were chosen and investigated with self-rating depression scale （SDS） and self-rating anxiety scale （SAS） by self-filling questionnaire. Results The incidence of cardiovascular patients with anxiety and depression was 47.86%, the lonely incidence of depression and anxiety was 17.29% and 26. 71% respectively, the average score of SDS and SAS was 40. 37 ±7. 92, 42. 18 ±7.42, respectively. Results of multivariate logistic regression analysis indicated that the influential factors for the prevalence of depression were work stress （ OR = 1. 923 ）, gender （ OR = 1. 572）, number of medication kinds in later 3 moths （ OR = 1. 496）, suffering of cardiovascular disease （ OR = 1. 425 ） , the course of disease （ OR = 1. 298 ） and educational level （ OR = 1. 216 ）, and the influential factors for the prevalence of anxiety were work stress （ OR =2. 021 ）, gender （ OR = 1. 753）, number of medication kinds in later 3 moths （ OR = 1. 693）, suffering of cardiovascular disease （ OR = 1. 516）, the course of disease （ OR = 1. 412） （P 〈 0.05 or P 〈 0. 01 ）. Conclusion The incidence rates of depression and anxiety were high in cardiovascular patients, it should be taken psychological intervention to promote patients recover.