新型冠状病毒感染常态化防控时期心内科就诊患者焦虑、抑郁、躯体化症状及睡眠质量调查  

Investigation on anxiety,depression,somatization symptoms,and sleep quality among cardiology patients during the 2019-nCoV normalization period

作　　者：钱倩倩 程自平[1] 范彬 齐乐 陈晨[1] 刘兆平[1] 章蓓蓓 QIAN Qianqian;CHENG Ziping;FAN Bin;QI Le;CHEN Chen;LIU Zhaoping;ZHANG Beibei(不详;Department of Cardiology,the First Affiliated Hospital of Anhui Medical University,Anhui Provincial Public Health Center,Hefei 230022,China)

机构地区：[1]安徽医科大学第一附属医院,安徽省公共卫生中心,心血管内科,合肥230022 [2]安徽医科大学第一附属医院,安徽省公共卫生中心,消化内科,合肥230022

出　　处：《中国临床保健杂志》2024年第4期498-503,共6页Chinese Journal of Clinical Healthcare

基　　金：安徽省高等学校省级质量工程项目(2020jyxm0907);安徽医科大学校科研基金项目(2021xkj057);安徽医科大学第四附属医院科研培育基金项目(2022YKJ14)。

摘　　要：目的了解新型冠状病毒(2019-nCoV)感染常态化防控时期,心内科就诊患者的焦虑、抑郁、躯体化症状和睡眠质量情况调查,以便为心血管疾病患者的心理干预提供依据。方法选取2023年1至3月安徽医科大学第一附属医院心血管内科门诊患者作为研究对象;以焦虑自评量表(GAD-7)、抑郁自评量表(PHQ-9)、躯体化症状自评量表(SSS)和匹兹堡睡眠质量指数量表(PSQI)来评估患者的焦虑、抑郁、躯体化症状和睡眠质量;采用多因素logistic回归模型分析其影响因素。结果纳入423例患者,其中焦虑、抑郁、躯体化症状的发生率分别为51.3%、51.0%和74.5%,睡眠质量普遍较差。多因素logistic回归分析结果显示,男性(OR=0.646)、>45岁(>45~60岁,OR=0.362;>60~80岁,OR=0.316)是心内科就诊患者焦虑的保护因素,大学以上学历(OR=13.886)、有2019-nCoV感染史(OR=21.420)是心内科就诊患者焦虑的危险因素;男性(OR=0.413)是心内科就诊抑郁的保护因素,大学以上学历(OR=3.103)、有2019-nCoV感染史(OR=8.763)是心内科就诊患者抑郁的危险因素;女性(OR=0.594)、有2019-nCoV感染史(OR=27.514)是躯体化症状的危险因素;>45岁(>45~60岁,OR=0.181;>60~80岁,OR=0.440)是心内科就诊患者睡眠质量的保护因素,有2019-nCoV感染史(OR=42.036)是睡眠质量的危险因素。结论2019-nCoV常态化防控时期,焦虑、抑郁、躯体化症状及睡眠障碍检出率高。有2019-nCoV感染史是心内科就诊患者焦虑、抑郁、躯体化症状及睡眠障碍的共同影响因素。Objective To investigation on the anxiety,depression,somatization symptoms,and sleep quality among cardiology patients during the"normalization"period of 2019-nCoV,and to analyze the influencing factors,in order to provide a basis for psychological interventions for cardiovascular disease patients.Method The study selected patients from the cardiology outpatient department of the First Affiliated Hospital of Anhui Medical University from January to March 2023 as the subjects.The Generalized Anxiety Disorder 7-item(GAD-7),Patient Health Questionnaire-9(PHQ-9),Somatization Symptom Scale(SSS),and Pittsburgh Sleep Quality Index(PSQI)were used to assess patients′anxiety,depression,somatization symptoms,and sleep quality.A multivariate logistic regression model was used to analyze the influencing factors of patients′anxiety,depression,somatization symptoms,and sleep quality.Results The study included 423 patients,the incidence of anxiety,depression,and somatization symptoms among cardiology outpatient patients were 51.3%,51.0%,and 74.5%respectively,with generally poor sleep quality.Multivariate logistic regression analysis showed that being male(OR=0.646)and older than 45 years(>45-60 years,OR=0.362;>60-80 years OR=0.316)were protective factors for anxiety in cardiology patients,while having a higher education level(OR=13.886)and a history of 2019-nCoV infection(OR=21.420)were risk factors.Being male(OR=0.413)was a protective factor for depression in cardiology patients,whereas having a higher education level(OR=3.103)and a history of 2019-nCoV infection(OR=8.763)were risk factors.Being female(OR=0.594)and having a history of 2019-nCoV infection(OR=27.514)were risk factors for somatization symptoms.Being older than 45 years(>45-60 years,OR=0.181;>60-80 years,OR=0.440)was a protective factor for sleep quality in cardiology patients,whereas a history of 2019-nCoV infection(OR=42.036)was a risk factor.Conclusions During the"normalization"period of 2019-nCoV,the detection rates of anxiety,depression,somatization sympto

关 键 词：心血管疾病 新型冠状病毒感染 焦虑 抑郁 躯体型障碍 睡眠质量 心脏病危险因素 

分 类 号：R54[医药卫生—心血管疾病] R395.6[医药卫生—内科学]