老年冠心病患者存在无意义焦虑现状及影响因素分析  

Analysis of the status quo and influencing factors of meaningless anxiety in elderly patients with coronary heart disease

作　　者：李小园 黄洁玉 黄小琼 官友芳 何冰 林华容 LI Xiaoyuan;HUANG Jieyu;HUANG Xiaoqiong;GUAN Youfang;HE Bing;LIN Huarong(Department of Cardiovascular,the People's Hospital of Hezhou,Guangxi Zhuang Autonomous Region,Hezhou 542800,China)

机构地区：[1]广西壮族自治区贺州市人民医院心血管内科,广西贺州542800

出　　处：《中国当代医药》2025年第7期23-27,共5页China Modern Medicine

基　　金：广西壮族自治区贺州市科学研究与技术开发计划项目(贺科技2023108)。

摘　　要：目的分析老年冠心病患者存在无意义焦虑现状及影响因素。方法选取2023年8月至2024年4月贺州市人民医院收治的313例老年冠心病患者作为研究对象,分析其基础资料,统计存在无意义焦虑发生率,采用logistic回归分析老年冠心病发生无意义焦虑的危险因素。结果313例患者中,存在无意义焦虑49例,发生率为15.65%。logistic回归分析结果显示,男性(β=0.611,OR=1.842,95%CI:1.141~2.964)、文化程度高中及以上(β=0.344,OR=1.411,95%CI:1.212~1.643)、家庭人均月收入<3000元(β=0.191,OR=1.211,95%CI:1.084~1.353)、离异/丧偶(β=0.192,OR=1.212,95%CI:1.146~1.282)、冠心病病程≥5年(β=0.220,OR=1.246,95%CI:1.096~1.416)、吸烟(β=0.351,OR=1.421,95%CI:1.264~1.597)、饮酒(β=0.393,OR=1.482,95%CI:1.386~1.585)、居住地为城市(β=0.611,OR=1.842,95%CI:1.415~2.398)、主要照顾者为子女(β=0.368,OR=1.446,95%CI:1.125~1.858)、心功能4级(β=0.133,OR=1.142,95%CI:1.026~1.271)、年龄(β=0.135,OR=1.145,95%CI:1.021~1.284)、心脏康复信息需求量表(INCR)评分升高(β=0.379,OR=1.461,95%CI:1.244~1.716)、智谋量表(RS)评分升高(β=0.216,OR=1.241,95%CI:1.112~1.385)等是老年冠心病存在无意义焦虑的独立危险因素(P<0.05)。结论男性、文化程度高中及以上、家庭人均月收入<3000元、离异/丧偶、冠心病病程≥5年、吸烟、饮酒、居住地为城市、主要照顾者为子女、心功能4级、年龄、INCR评分升高、RS评分升高等为诱发老年冠心病患者存在无意义焦虑的危险因素,临床需要加强干预并采取针对性措施预防,旨在提升我国老年居民身心健康状态。Objective To analyze the status quo and influencing factors of meaningless anxiety in elderly patients with coronary heart disease.Methods A total of 313 elderly patients with coronary heart disease treated in the People's Hospital of Hezhou from August 2023 to April 2024 were selected as the research objects.The basic data were analyzed,and the incidence of meaningless anxiety was calculated.The risk factors of meaningless anxiety in elderly patients with coronary heart disease were analyzed by logistic regression.Results Among the 313 patients,49(15.65%)had meaningless anxiety.Logistic regression analysis showed that male(β=0.611,OR=1.842,95%CI:1.141-2.964),high school education or above(β=0.344,OR=1.411,95%CI:1.212-1.643),family per capita income<3000 yuan(β=0.191,OR=1.211,95%CI:1.084-1.353),divorce/widowhood(β=0.192,OR=1.212,95%CI:1.146-1.282),duration of coronary heart disease≥5 years(β=0.220,OR=1.246,95%CI:1.096-1.416),smoking(β=0.351,OR=1.421,95%CI:1.264-1.597),drinking(β=0.393,OR=1.482,95%CI:1.386-1.585),urban residence(β=0.611,OR=1.842,95%CI:1.415-2.398),primary caregiver is children(β=0.368,OR=1.446,95%CI:1.125-1.858),grade 4 heart function(β=0.133,OR=1.142,95%CI:1.026-1.271),age(β=0.135,OR=1.145,95%CI:1.021-1.284),increased information need in cardiac rehabilitation(INCR)score(β=0.379,OR=1.461,95%CI:1.244-1.716)and increased resourcefulness scale(RS)score(β=0.216,OR=1.241,95%CI:1.112-1.385)were independent risk factors for senseless anxiety in elderly coronary heart disease(P<0.05).Conclusion Male,high school education or above,family per capita income<3000 yuan,divorce/widowhood,duration of coronary heart disease≥5 years,smoking,drinking,urban residence,primary caregiver is children,grade 4 heart function,age,increased INCR score and RS score are risk factors for meaningless anxiety in elderly patients with coronary heart disease.It is necessary to strengthen clinical intervention and take targeted measures to improve the physical and mental health of elderly residents in China.

关 键 词：老年 冠心病 存在无意义焦虑 现状 影响因素 

分 类 号：R541.4[医药卫生—心血管疾病]