冠状动脉搭桥术后心脏康复患者的心理健康及影响因素分析  

Mental health and its related factors in patients with cardiac rehabilitation after coronary artery bypass grafting

作　　者：刘敏[1] 于波[2] 宋倩 富智[4] 孙承波[2] Liu Min;Yu Bo;Song Qian;Fu Zhi;Sun Chengbo(Department of Pharmacy,Lianyungang First People′s Hospital,Lianyungang 222002,China;Department of Cardiovascular Surgery,Lianyungang First People′s Hospital,Lianyungang 222002,China;Department of Cardiology,Jiangong Hospital,Beijing 100054,China;Department of Cardiovascular Surgery,Huai′an First People′ Hospital,Huai'an 223300,China)

机构地区：[1]连云港市第一人民医院药学部,222002 [2]连云港市第一人民医院心血管外科,222002 [3]北京市健宫医院心血管内科,100054 [4]淮安市第一人民医院心血管外科,223300

出　　处：《中华全科医师杂志》2019年第6期568-571,共4页Chinese Journal of General Practitioners

摘　　要：收集连云港市第一人民医院(2015年3月至2018年9月,204例)、淮安市第一人民医院(2015年11月至2018年5月,83例)及北京市健宫医院(2015年7月至2018年9月,116例)行冠状动脉搭桥术患者资料共403例。对237例术后心脏康复(CR)参与者及148例未参与者的心理健康状态进行评估,并分析CR后患者心理健康的影响因素。结果显示,患者参与CR后2个月焦虑、抑郁及生命质量评分较CR实施前显著降低(P<0.05),且存在焦虑及抑郁症状百分率显著低于对照组分别为(18.5%比31.1%,14.8%比25.0%,P<0.05)。月收入较低、失业及对自身疾病较了解的CR参与者焦虑及抑郁症状的风险较高(OR=0.335~3.243,P<0.05)。提示CR能有效改善患者抑郁及焦虑状态,提高生命质量;CR的实施应充分考虑多种因素,制定针对性康复方案。The mental health status of 237 patients with coronary heart disease who participated in cardiac rehabilitation (CR) after coronary artery bypass grafting and 148 non-participating patients(control group) in three hospitals was evaluated, and the related factors for mental health of patients with CR were analyzed. The results showed that the anxiety,depression,and quality of life scores of patients after 2 months of participation in CR were significantly lower than those before CR (P<0.05),and the incidence of anxiety and depressive symptoms was significantly lower than that in control group (18.5% vs. 31.1% and 14.8 vs. 25.0%, respectively, P<0.05). The risk of anxiety and depressive symptoms was higher in CR participants with lower monthly income [OR=0.335(0.150-0.751),P=0.008],unemployment [OR=0.427(0.244-0.749),P=0.003] and knowing their own disease [OR=3.243(1.427-7.371), P=0.005]. This study shows that CR can effectively improve the state of depression and anxiety and improve the quality of life. The implementation of CR shoμld fully consider a variety of influencing factors and develop a targeted rehabilitation program.

关 键 词：心脏康复 冠状动脉搭桥术 心理健康 

分 类 号：R654.2[医药卫生—外科学]