老年冠心病患者抑郁状态与社会心理因素的相关性研究  

The reserch of correlation between senile coronary heart disease with depression and psychosocial factors

作　　者：王建军[1] 张冬梅[1] 

机构地区：[1]南京军区福州总医院干部病房二科,福州350025

出　　处：《中国临床保健杂志》2012年第6期612-615,F0003,共5页Chinese Journal of Clinical Healthcare

摘　　要：目的观察社会心理因素与老年冠心病患者抑郁状态之间的关系。方法对200例老年冠心病患者进行社会心理因素、自评抑郁量表、社会支持评定量表、日常生活能力量表调查,然后进行Logistic回归分析及Pearson相关分析。结果老年冠心病患者抑郁症发病率为53.65%;Logistic回归分析教育程度低、病程长、发作次数多增加了患者的抑郁状态发生的危险性(OR值分别为0.44、0.304、7.308,P<0.05);SDS与客观支持、主观支持、支持利用度动能力呈负相关,其关联性具有统计学意义(P<0.05或P<0.01),与躯体生活自理能力、工具性生活能力呈正相关,其关联性具有统计学意义(P<0.01).结论老年冠心病患者抑郁状态发生率高;与社会心理因素密切相关。Objective To observe the correlation between depression and psychosocial factors in old patients with senile coronary heart disease. Methods To exam the social and psychological factors, self-rating depression scale ,social support scale and ADL in patients with Senile coronary heart disease with depression. Results The prev- alence rate of depression was 53.65 %. Logistic regression analysis showed that low education,longer duration, multi- ple episodes of depression in patients increased the risk of occurrence, （ OR values were 0. 44 ,0. 304 ,7. 308 ,P 〈 0. 05 ） ;SDS was negatively correlated with objective support,subjective support, support for dynamic capacity utilization （P 〈 0.05 or P 〈 0.01 ）, and positively with physical serf-care capacity and tool life skills（P 〈 0. 01 ）. Conclusion Incidence of depression in patients with Senile coronary heart disease is high ,which is closely related to social psycho- logical factors.

关 键 词：冠状动脉疾病 抑郁 心理现象和过程 老年人 

分 类 号：R541.4[医药卫生—心血管疾病]