慢性心力衰竭患者负性情绪影响因素及护理

目的探讨慢性心力衰竭患者焦虑及抑郁发生率及影响因素，为临床的治疗和护理提供方向和依据。方法采用抑郁自评量表（SDS）、焦虑自评量表（SAS），对60例CHF患者进行横断面调查。结果CHF患者的焦虑、抑郁发生率分别为36．67％、53．33％。病程、职业性质、经济状况与焦虑、抑郁发生相关（P〈0．05），文化程度与焦虑发生相关（P〈0．05）。心功能分级是抑郁、焦虑发生的主要影响因素（β=-1．005，-0．855，P〈0．05；95％CI1．236—6．035，1．075—5．139）。结论慢性心衰患者焦虑、抑郁的发生与多种因素有关，心理干预应及早进行。

Influencing factors and nursing of negative emotions in patients with chronic heart failure

Objective To explore the influencing factors of anxiety and depression in patients with chronic heart failure ( CHF),in order to provide direction and basis of clinical treatment and care.Methods A cross-sectional study was conducted on 60 patients with CHF who were investigated by self-rating depression scale (SDS) and self-rating anxiety scale ( SAS ).Results The rates of anxiety and depression in CHF patients were 36.67％ and 53.33％,respectively.Course of disease,occupation and economic status were related with anxiety and depression (P ＜ 0.05 ).Educational level was related with the rate of anxiety (P ＜ 0.05 ).Cardiac function was the main influencing factor of depression and anxiety (β =1.005,0.855 ; P ＜ 0.05 ; 95％ CI:1.236 - 6.035,1.075 - 5.139).Conclusions A variety of factors are related with occurrence of anxiety and depression in patients with chronic heart failure.Psychological intervention is urgently required.