新冠疫情期间经皮冠状动脉介入术后患者焦虑和抑郁状况调查  

Investigation on Anxiety and Depression of Patients After Percutaneous Coronary Intervention During the COVID-19 Epidemic

作　　者：苏金和[1] 刘云娣[1] 吴衡 SU Jinhe;LIU Yundi;WU Heng(The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou,Guangdong,China 510405)

机构地区：[1]广州中医药大学第一附属医院,广东广州510405

出　　处：《中国药业》2021年第21期110-114,共5页China Pharmaceuticals

摘　　要：目的了解经皮冠状动脉介入(PCI)术后患者在新型冠状病毒肺炎(COVID-19)疫情期间的焦虑和抑郁状况,为制订针对性的干预措施提供依据。方法选取广州市某三级甲等综合医院2019年3月至12月实施了PCI术患者68例,于2020年2月4日至11日采用自制调查问卷、焦虑自评量表(SAS)和抑郁自评量表(SDS)进行调查和测评。采用描述性、单因素、二元Logistics回归分析和Pearson相关性分析分析影响因素及其相关性。结果共回收问卷62份。PCI术后患者的SAS和SDS评分分别为(49.24±12.01)分和(54.48±11.72)分,显著高于全国常模的(29.78±0.46)分和(41.88±10.57)分(P <0.001)。51.61%(32/62)和50.00%(31/62)的患者分别出现了焦虑和抑郁状况,且两者呈正相关(r=0.725, P <0.001)。二元Logistics回归分析显示,药物是否充足(OR=10.297,P=0.001)和最近1周血压、血糖较疫情暴发前的状况(OR=0.198, P=0.001),是影响PCI术后患者焦虑的主要因素;而居住状况(OR=0.021, P=0.003)和最近1周血压、血糖较疫情暴发前的状况(OR=0.054, P <0.001),是影响PCI术后患者抑郁的主要因素。结论 COVID-19流行期间,PCI术后患者存在明显的焦虑和抑郁情绪,应加强该类人群心理健康的关注,采取有针对性的措施减轻疫情导致的心理问题。Objective To understand the anxiety and depression status of patients after percutaneous coronary intervention(PCI)during the Coronavirus Disease 2019(COVID-19)epidemic,and to provide a basis for formulating targeted intervention measures.Methods A total of 68 patients who underwent PCI in a third-grade class-A hospital in Guangzhou City from March to December 2019 were selected and evaluated by the self-made questionnaires,Self-Rating Anxiety Scale(SAS),and Self-Rating Depression Scale(SDS)from February 4 th to 11 th,2020.Descriptiveness,single factor,binary Logistics regression analysis and Pearson correlation analysis were used to analyze related influencing factors and their correlation.Results A total of 62 questionnaires were collected.The SAS and SDS scores of patients after PCI were(49.24±12.01)points and(54.48±11.72)points,which were significantly higher than(29.78±0.46)points and(41.88±10.57)points of the national norm(P<0.001).Precisely 51.61%(32/62)and 50.00%(31/62)of the patients had anxiety and depression respectively,which were positively correlated(r=0.725,P<0.001).Binary Logistic regression analysis showed that whether the drug was adequate(OR=10.297,P=0.001)and the blood pressure and blood sugar in the last week compared with the those before the outbreak of the epidemic(OR=0.198,P=0.001)were the main factors affecting anxiety of patients after PCI,while the housing status(OR=0.021,P=0.003)and the blood pressure and blood sugar in the last week compared with the those before the outbreak of the epidemic(OR=0.054,P<0.001)were the main factors affecting depression of patients after PCI.Conclusion During the COVID-19 epidemic,patients have obvious anxiety and depression after PCI.We should pay more attention to the mental health of these patients and take targeted measures to reduce the psychological problems caused by the epidemic.

关 键 词：新型冠状病毒肺炎 经皮冠状动脉介入术 “双心”治疗 焦虑 抑郁 影响因素 

分 类 号：R95[医药卫生—药学]