吸烟和不吸烟急性心肌梗死患者住院期间焦虑、抑郁水平的比较

目的探讨吸烟和不吸烟的急性心肌梗死（AMI）患者在入住心脏监护室（CCU）期间压力水平的差异。方法选择在CCU住院的AMI患者74例，根据患者是否吸烟分为吸烟组（n=33）和不吸烟组（n=41），采用焦虑自评量表（SAS）和抑郁自评量表（SDS）调查患者的焦虑、抑郁状况。结果74例患者中有焦虑症状的占75．68％，有抑郁症状的占63．51％；吸烟组患者的SAS、SDS评分分别为（64．39±15．39），（65．80±15．39）分，不吸烟组的SAS、SDS评分分别为（52．50±6．55），（53．96±5．32）分；吸烟组焦虑、抑郁程度高于不吸烟组，差异均有统计学意义（t=4．15，4．87；P〈0．01）；且吸烟组重度焦虑、抑郁发生率较高。结论吸烟的AMI患者在人住CCU期间表现出更高的焦虑、抑郁水平，护理人员应给予重视，进行有针对性的干预。

Comparison of the anxiety and depression level between non-smoking and smoking acute myocardial infarction patients in hospital

Objective To compare the psychological stress between non-smoking AMI patients and smoking patients in the CCU.Methods A cross-sectional survey was piloted on a sample of 74 AMI patients (33 smokers and 41 non-smokers) in the CCU.Psychological stress was measured the Self-Rating Anxiety Scale (SAS) and Self-rating Depression Scale(SDS).Results Among 74 patients,75.68％ had anxiety symptoms,63.51％ had depression symptoms; The scores of SAS and SDS in smokers were (64.39 ± 15.39),(65.80 ±15.39),the scores of SAS and SDS in non-smokers were (52.50 ± 6.55 ),(53.96 ± 5.32) ; Smokers reported higher anxiety and depression levels than nonsmokers reported on both scales,the statistics was significant( t =4.15,4.87 ; P ＜ 0.01 ) ; more severe anxiety and depression in smokers.Conclusions Smoking patients with AMI symptoms are exposed higher levels of anxiety and depression.Nurses should pay more attention to these patients,and give them the well targeted preventive measures.