某三甲综合医院心内科门诊患者焦虑抑郁症状及相关因素

目的:调查某三甲综合医院心血管内科门诊患者焦虑抑郁症状发生率及其影响因素。方法:随机抽样法选取2010年6月至12月该院心内科门诊患者1597例,应用焦虑自评量表(SAS)、抑郁自评量表(SDS)和自制人口社会学一般资料调查表进行调查。结果:受检者焦虑抑郁症状发生率为42.5%,其中单纯焦虑症状8.7%;单纯抑郁症状6.5%;焦虑抑郁症状共存27.3%。现患心血管疾病患者焦虑抑郁症状发生率为45.7%;无心血管疾病患者发生率为35.6%,两者比较有显著性差异(P<0.05)。现患高血压病、冠心病、心律失常和高血压病和冠心病并发患者焦虑抑郁症状发生率分别为39.7%、43.2%、40%、53.7%。多因素分析显示性别、A型人格、病程、就诊次数、服药种类、现患心血管疾病、工作压力和对目前家庭收入满意度为焦虑抑郁发生独立影响因素。结论:三甲综合医院心内科门诊患者焦虑抑郁症状总发生率高达42.5%;现患心血管疾病患者并发焦虑抑郁症状发生率显著高于无心血管疾病者。影响焦虑抑郁症状发生的主要因素涉及心理、生理、社会多方面。

Investigate the Incidence of Anxiety and Depression in Outpatients from Cardiovascular Department in a General Hospital

Objective: To investigate the incidence rate and main influencing factors of anxiety and depression in the outpatients in the cardiovascular department of one big(3A) general hospital.Methods: 1597 outpatients in the out-patients department of Cardiology during August to December 2010 were enrolled in this study.All subjects were questionaired by the Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS) and the general social and demographical materials list.Results: The incidence rate of psychological disorders including anxiety and depression in the subjects was 42.5%.The incidence rate of only anxiety was 8.7%,only depression 6.5% and the combination of anxiety and depression 27.3%.Among the subjects,the incidence of anxiety and depression in the outpatients without cardiovascular disease was 35.6%,and significantly lower than those with cardiovascular disease(45.7%,P<0.05).The incidences of anxiety and depression in the outpatients with hypertension,coronary heart disease,or combination of hypertension and coronary heart disease and or arrythmias were 39.7%,43.2%,53.7%,and 40% respectively.Multiple logistic analyses showed that gender,type A personality,number of visiting clinics,number of medication kinds,suffering of cardiovascular disease,work stress and family income were the main influential factors for the incidence of the psychological disorders.Conclusion: The incidence rate of anxiety and depression in the outpatients in the cardiovascular department of the big(3A) general hospital was high up to 42.5%.The incidence of anxiety and depression of patients with cardiovascular disease was significantly higher than those without cardiovascular disease.