慢性充血性心力衰竭患者焦虑抑郁的调查研究

目的:探讨慢性充血性心力衰竭(CHF)患者中焦虑、抑郁障碍的发生情况及相关影响因素。方法:共纳入318例患者,其中心内科住院168例CHF患者为观察组,门诊健康查体150人作为对照组。收集患者的一般资料及住院情况。入院3天内均填写zung氏焦虑/抑郁自评量表,进行评分。随后对结果进行统计学分析,评价两组患者的焦虑/抑郁的发生情况,并对相关影响因素进行分析(性别,病程,心功能分级,文化程度,经济状况,城市/农村等)。结果:评分结果显示,CHF组患者观察组SDS,SAS评分及焦虑,抑郁发生率明显高于对照组(P<0.01);女性患者、学历为初中以下的患者、来自农村地区的患者的SDS,SAS评分及焦虑,抑郁发生率均高于相应的对照组(P<0.05);不同心功能分级间的焦虑、抑郁发生率差异具有统计学意义(P<0.05)。结论:慢性充血性心力衰竭患者的焦虑和抑郁障碍的发生率较一般人群显著升高。且女性、文化程度较低、农村患者、心功能较差者更易发生。

The Investigation of Anxiety and Depression in Patients with Chronic Congestive Heart Failure

Objective:To investigate the situation of anxiety,depression and some related factors in patients with chronic congestive heart failure.Methods:318 Subjects were enrolled in the study consecutively,including 168 patients with chronic heart failure(observation group) and 150 healthy volunteers without heart failure(control group).Self-rating anxiety scale(SAS) and self-rating depression scale(SDS) were distributed to the tow groups.The baseline characteristics of the patients and the scores of different group were analyzed by SPSS;assessed the situation of occurrence of anxiety and depression in the 2 groups,and analyzed the related factors(including sex,duration,cardiac function classification,educational level,economic status,city/rural,etc.).Results:The Score of SDS and SAS and the incidence of depression and anxiety of the observation group were significantly higher than the control group(P<0.01);The Score of SDS and SAS and the incidence of depression and anxiety of the female patients,the patients with following junior high school education and the patients from rural areas were higher than the corresponding control group(P<0.05);The incidence of depression of the patients in different cardiac function was statistically significant(P<0.05).Conclusion:The incidence of depression and anxiety in chronic congestive heart failure patients was significantly higher than the general population.Patients including female,which with low education level,which from rural areas,or which with poor cardiac function were dealing to occur.