军队离退休疗养员焦虑抑郁状况调查研究

目的研究军队离退休疗养员心理健康状况及冠心病与高血压病人伴发焦虑、抑郁负性情绪状况,为临床开展康复治疗提供客观依据。方法采用Zung焦虑自评量表(SAS)、抑郁自评量表(SDS)于疗养员入院第1周进行测评。按照入院诊断分为疾病疗养组与保健疗养组,比较SAS、SDS评定分值。再分组比较高血压与冠心病不稳定型心绞痛、高血压合并不稳定型心绞痛病人焦虑、抑郁状况。结果疾病疗养组SAS、SDS分值显著高于保健疗养组(P<0.001)。疾病疗养组中高血压合并不稳定型心绞痛和单纯高血压病人SAS评分明显高于冠心病不稳定型心绞痛组(P<0.01,P<0.05);SDS评分各组差异无统计学意义(P>0.05)。结论疾病疗养员比保健疗养员更易产生焦虑、抑郁负性情绪。其中冠心病不稳定型心绞痛病人的焦虑状况比高血压合并不稳定型心绞痛和高血压患者轻;但抑郁状况无明显减轻。

Research into the anxiety and depression status in retired military veteran convalescents

Objective To research into the mental health condition of retired military veteran convalescents, and the status of anxiety and depression negative emotion of the convalescents with coronary heart disease and hypertension, in order to provide an objective basis for the general rehabilitation treatment. Methods Zung Self-Rating Anxiety Scale （SAS）and Self-Rating Depression Scale（SDS）were adopt- ed to test the convalescents within the first week of their admission.The convalescents were divided into patient group and health group ac- cording to the admission diagnosis and the scores of SAS and SDS were compared.Then the anxiety and depression condition of patients with hypertension and unstable angina within the patient group was compared. Results The scores of SAS and SDS in patient group were significantly higher than those in health group （P〈0.001）.Within the patients group, the SAS scores of hypertension and unstable angina together with hypertension group were significantly higher than those of unstable angina group （P 〈 0.01, P 〈 0.05）.There was no signifi- cant difference in SDS scores among groups（P〉0.05）.Gonclusion Convalescents in patient group are more likely to have anxiety and depression negative emotion than those in the health group.And it is apparent that convalescents with coronary heart disease unstable angi-na have lighter anxiety than those convalescents with hypertension and hypertension-associated unstable angina, though there is no signifi- cant difference in the degree of depression relief.