摘要
目的探讨心血管疾病患者合并焦虑、抑郁及双心治疗的现状。方法应用一般情况调查表、社会支持评定量表(Social Support Rating Scale,SSRS)、焦虑自评量表(Self-Rating Anxiety Scale,SAS)及抑郁自评量表(Self-Rating Depression Scale,SDS)对615例心血管疾病患者进行调查。结果 615例心血管疾病患者SAS平均得分48.38±8.85,281例患者SAS得分≥50,焦虑症状的检出率为45.70%;SDS平均得分47.58±8.60,222例患者SDS得分≥50,抑郁症状的检出率为36.10%;SAS和SDS评分呈高度正相关(r=0.544,P=0.000)。SDS与SAS得分均≥50者164例,占26.67%。逐步回归分析揭示,影响心血管疾病患者焦虑的因素主要为客观支持分、病程、行为类型、主观支持分、生活事件、对支持的利用度及疾病诊断;影响心血管疾病患者抑郁的主要因素为文化程度、生活事件、居住地、对支持的利用度及疾病诊断。615例患者中,应用抗抑郁药11例(1.8%)、应用抗焦虑药38例(6.2%)、应用抗抑郁药合并抗焦虑药85例(13.8%)。结论心血管疾病合并焦虑、抑郁较常见,其发生的相关因素涉及多个方面。对心血管疾病伴发抑郁焦虑的重视程度不够,存在治疗不足及用药不规范现象。
Objective To survey the anxiety and depression in patients with cardiovascular diseases and the effect of psycho-cardiology. Methods A survey was conducted on 615 patients with cardiovascular disea- ses by using General Condition Rating Scale, Social Support Rating Scale（SSRS）, Self-Rating Anxiety Scale（SAS）and Self-Rating Depression Scale（SDS）. Results The average scores of SAS was 48.38±8.85, SAS scores in 615 cases and 45.70% in 281 cases. The average scores of SDS was 47.58±8.60, the SDS score was higher than 50 in 222 patients and the detection rate of depression was 36.10%. There was sig- nificant positive correlation between SAS scores and SDS scores （ r =0. 544, P =0. 000）. 26.67% of SAS and SDS scores were higher than 50 in 164 patients. Step-wise regression analysis showed that objective support scores, course of disease, behavior type, subjective support scores, life events, availability of so-cial support contributing background, dence, availa and disease diagnosis werethe main factors of anxiety. Educational life events, social support, place of resi bility of social support and disease diagno sis were the main contributing factors of depression. Antidepressants were prescribed for 11 patients（1.8 %）, antianxietics were prescribed for 38 patients （6.2%）, the combined use of antidepressants and antianxietics was prescribed for 85 patients （13.8%）. Conclusion Anxiety and depression are more common in patients with cardiovascular diseases and their related factors are referred to many aspects. Cardiovascu- lar diseases combined anxiety and depression deserve sufficient. Lack of treatment and non-standard presciption often occur in these patients.
出处
《山东医学高等专科学校学报》
2016年第5期352-356,共5页
Journal of Shandong Medical College
基金
山东省医药卫生科技发展计划项目(No.2014WS0038)
关键词
心血管疾病
焦虑
抑郁
治疗
Cardiovascular Diseases
Anxiety
Depression
Treatment
