PCI术后患者焦虑抑郁状态及影响因素调查  

Investigation of anxiety,depression and influencing factors in patients after percutaneous coronary intervention

作　　者：王翠[1] 谭丞宏 杨文笔[3] 左娟[3] 陶明[3] 

机构地区：[1]遵义医学院附属医院儿科,贵州遵义563099 [2]遵义医学院,贵州遵义563099 [3]遵义医学院附属医院心内科,贵州遵义563099

出　　处：《遵义医学院学报》2017年第3期327-332,共6页Journal of Zunyi Medical University

基　　金：贵州省科学技术基金资助项目(黔科合J字LK[2013]45)

摘　　要：目的调查经皮冠状动脉介入治疗术(percutaneous coronary intervention,PCI)后患者焦虑、抑郁发生情况及影响因素。方法对279例PCI术后患者于出院前1天分别采用自制调查问卷、Zung焦虑自评量表(SAS)及Zung抑郁自评量表(SDS)进行一般情况调查及心理测评,并对发生焦虑或抑郁以及焦虑合并抑郁的影响因素进行Logistic回归分析。结果 99例患者发生焦虑(35.48%),57例患者发生抑郁(20.43%),32例患者合并焦虑及抑郁(11.47%)。文化程度、付费方式、糖尿病及既往PCI史是患者发生焦虑的影响因素(P均<0.05),其中付费方式(OR=0.801,P=0.003,95%CI1.315~3.777)、糖尿病(OR=0.937,P=0.003,95%CI1.366~4.722)及既往PCI史(OR=0.855,P=0.013,95%CI1.198~4.610)是危险因素;性别、婚姻状况、文化程度及吸烟史是患者发生抑郁的影响因素(P均<0.05),其中性别(OR=1.073,P=0.001,95%CI1.528~5.595)及婚姻状况(OR=1.424,P=0.001,95%CI1.842~9.377)是危险因素;糖尿病及婚姻状况是患者发生焦虑合并抑郁的影响因素(P均<0.05)及危险因素(糖尿病OR=0.918,P=0.028,95%CI1.107~5.666;婚姻状况OR=1.121,P=0.017,95%CI1.219~7.726)。结论性别、婚姻状况、糖尿病、付费方式及既往PCI史会增加经皮冠状动脉介入术患者发生异常心理状况的风险。Objective To investigate the incidence and influencing factors of anxiety and depression in patients after percutaneous coronary intervention （PCI）. Methods 279 cases of PCI patients after discharged from the hospital 1 day before the self - designed questionnaire was used to survey the general data of patients, with Zung self rating Anxiety Scale （SAS） and self rating Depression Scale （SDS） for psychological evaluation of the prev- alence rate of anxiety and depression of patients. The Logistic regression was used to analyze the influencing fac- tors. Results 99 cases with anxiety （35.48%）, 57 patients with depression （20.43%）, 32 patients with anxiety and depression （11.47%） were analyzed. Education, payment, diabetes and history of PCI are the influencing factors of patients with anxiety （P 〈 0.05）. The payment （OR = 0. 801, P = O. 003, 95% CI1. 315 -3. 777）, diabetes （ OR = 0. 937, P = 0. 003, 95% CI1. 366 - 4. 722） and the history of PCI （ OR = 0. 855, P = 0. 013, 95% CI1. 198 -4. 610） are the risk factors. Gender, marital status, the cultural level and smoking history are in-fluence factors of patients with depression （P 〈 0.05 ） , the gender （ OR = 1. 073, P = 0. 001, 95% CII. 528 5. 595） and marital status （ OR = 1. 424, P = 0. 001, 95 % CI1. 842 - 9. 377 ） are the risk factors. The diabetes and marital status （ P 〈 0.05 ） are not only the influence factors of patients with depression and anxiety , but also the risk factors for diabetes OR =0. 918 ,P =0. 028,95% CI 1. 107 -5. 666. Marital status is also the risk factors OR = 1. 121, P = O. 017,95 % Cll. 219 - 7. 726）. Conclusion gender, marital status, diabetes, payment and PCI history will increase the risk of abnormal psychological status.

关 键 词：经皮冠状动脉介入治疗 焦虑 抑郁 影响因素 

分 类 号：R395.2[哲学宗教—心理学]