宁夏地区冠心病病人抑郁调查与分析  

Survey on Depression of Patients with Coronary Heart Disease in Ningxia

作　　者：尚玉秀[1] 朱凤萍 董桂清[1] 丁文清[1] 

机构地区：[1]宁夏医科大学公共卫生学院,银川750004 [2]宁夏中卫市人民医院心内科,中卫751700

出　　处：《宁夏医科大学学报》2012年第10期1025-1028,共4页Journal of Ningxia Medical University

基　　金：宁夏高等学校科学技术研究项目(宁教高[2008]293 号)

摘　　要：目的了解冠心病病人抑郁发生率及其严重程度。方法对宁夏3所城市10家综合性医院心内科的冠心病病人499例,采用Zung氏抑郁自评量表(SDS)进行心理测评。结果 499例冠心病病人SDS总分显著高于国内常模,差异有统计学意义(P<0.01)。抑郁发生率为67.1%,男性62.9%,女性73.1%,性别间抑郁发生率差异有统计学意义(P<0.05)。轻度抑郁为51.7%、中度抑郁34.0%、重度14.3%,男性以轻度抑郁为主,女性以轻、中度为主,性别间抑郁程度分布差异有统计学意义(P<0.01)。非条件Logistic回归模型结果显示:年龄、经济来源、早年丧父或丧母、健康状况是冠心病病人抑郁的危险因素。结论冠心病病人抑郁发生率较高,女性患者抑郁发生率高于男性,且抑郁程度相对较重,年龄越大、无固定经济来源、早年丧父或丧母、健康状况较差的冠心病病人抑郁发生率较高。Objective To investigate the prevalence rate and severity of depression in patients with coronary heart disease （CHD）. Methods The psychological status in 499 patients with CHD selected from ten general hospitals in three cities of Ningxiawas evaluated with Zung Self - Depression Scale （SDS）. Results The scores of SDS in 499 patients were significantly higher than those of the standardized SDS model （P 〈 0.01 ）. The prevalence rate of depression was 67.1%. The prevalence rate of depression in female （73.1% ） was sig-nificantly higher than that of male （62.9%） （P 〈 0.05 ）. The prevalence rate of mild, moderate and severe depressive symptoms in patients was 51.7%, 34.0% , 14.3% respectively. The severity of depression in remale were significantly higher than those in male （ P 〈 0.01 ）. Non - conditional logistic regression model showed that the age, source of income, lost their parents in childhood and physical condition were the risk factors of depression. Conclusion The prevalence rate of depression in patients with CHD was higher. The prevalence rate and severity of depression in female were higher than that in male. The older age, no source of income, lost their parents in childhood and poor physical condition were the major risk factors for depression in patients with CHD.

关 键 词：冠心病 抑郁 抑郁自评量表 

分 类 号：R541.4[医药卫生—心血管疾病] R749.2[医药卫生—内科学]