冠心病住院患者共病焦虑抑郁的影响因素分析  

Study on influencing factors of comorbidity anxiety and depression in patients with coronary heart disease

作　　者：孟雅丽[1] 陈士芳[1] 张真真[1] 付翠翠[1] 范宏宏 杨喜山[1] MENG Yali;CHEN Shifang;ZHANG Zhenzhen(Department of Cardiology,First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471003,China)

机构地区：[1]河南科技大学第一附属医院心内科,洛阳471003

出　　处：《国际精神病学杂志》2020年第6期1201-1203,共3页Journal Of International Psychiatry

基　　金：2018年河南省医学科技攻关计划联合共建项目(编号:2018020268):不同时间药物干预对冠心病合并高血压患者血压晨峰影响的研究。

摘　　要：目的探讨冠心病住院患者共病焦虑抑郁的影响因素。方法选择2017年1月~2020年1月我院收治的200例冠心病住院患者作为研究对象,调查焦虑抑郁共病发生情况以及患者的一般资料,采用单因素分析及多元logistic回归分析法分析患者共病焦虑抑郁的影响因素。结果200例冠心病住院患者共病焦虑抑郁的65例,发生率32.50%;共病焦虑抑郁患者与非共病患者在年龄、性别、睡眠障碍、病变程度、住院史、受教育程度、家庭月收入、婚姻状况的差异具有统计学意义(P<0.05);多元logistic回归分析显示女性、睡眠障碍、三支病变、住院史是冠心病住院患者共病焦虑抑郁的独立危险因素。结论冠心病住院患者共病焦虑抑郁的发生率较高,可能受到性别、睡眠、病变和住院史的因素的影响,可开展针对性措施以提升冠心病住院患者心理健康水平。Objective To discuss the influencing factors of comorbidity anxiety and depression in patients with coronary heart disease. Methods A total of 200 patients with coronary heart disease in our hospital from January 2017 to January 2020 were selected as the research object. To investigate the incidence of comorbidities of anxiety and depression and the general information of patients,univariate analysis and multivariate logistic regression analysis were used to analyze the influencing factors of comorbidities of anxiety and depression. Results There were 65 cases of comorbid anxiety and depression among 200 hospitalized patients with coronary heart disease,with an incidence of 32.50%. There were statistically significant differences between comorbid anxiety and depression patients and non-comorbid patients in age,sex,sleep disorder,lesion degree,hospitalization history,education,family monthly income and marital status(P<0.05). Multiple logistic regression analysis showed that female,sleep disorder,three lesions and hospitalization history were independent risk factors for comorbidities anxiety and depression in patients with coronary heart disease. Conclusion The incidence of anxiety and depression comorbidity in patients with coronary heart disease is relatively high,which may be affected by gender,sleep,pathological changes and hospitalization history. Targeted measures can be taken to improve the mental health level of patients with coronary heart disease.

关 键 词：冠心病 住院患者 焦虑抑郁 共病 影响因素 

分 类 号：R749.2[医药卫生—神经病学与精神病学]