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心衰住院患者焦虑抑郁共病及其相关因素的研究
Prevalence of Anxiety and Depression in Hospitalized Patients with Heart Failure
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摘要: 目的探讨心衰住院患者焦虑抑郁共病的患病率及其危险因素。方法连续性纳入2015年9月至2016年3月某三甲医院心内科住院的慢性心衰患者，收集患者临床资料，采用医院焦虑抑郁量表进行焦虑、抑郁评估。并对焦虑抑郁共病的危险因素进行多因素logistic回归分析。结果纳入的301例心衰患者中，存在焦虑者124例（41.2%），抑郁者177例（58.8%），焦虑抑郁共病者98例（32.6%）。单因素分析显示，女性、居住农村、家庭支持差、纽约心功能（NYHA）Ⅳ级、近一年心衰住院次数≥3次的心衰住院患者伴发焦虑可能性更大；家庭支持差、初等及以下学历、NYHA心功能Ⅳ级、偏瘦/正常的心衰住院患者伴发抑郁可能性更大；焦虑和抑制郁的严重程度呈正相关（Y=0.617，P<0.05)。多因素logistic回归分析显示，有焦虑和/或抑郁的患者中，女性患焦虑抑郁共病的风险是男性的2.045倍,NYHA心功能Ⅳ级患者是Ⅱ/Ⅲ级患者的1.955倍，过去一年心衰住院次数≥3次患者是1～2次患者的2.288倍。结论焦虑抑郁共病在心衰住院患者中患病率高，需要重视心衰患者尤其是高危者的心理健康。
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关键词:
- 心力衰竭 焦虑 抑郁 共病
Abstract: Objective To determine the prevalence of anxiety and depression in hospitalized patients with heart failure. Methods From September 2015 to March 2016, 301 patients who were admitted to the cardiac ward of a tertiary hospital for heart failure were consecutively enrolled in this study. They were assessed with the Hospital Anxiety Depression Scale (HADs). Multivariate logistic regression analysis was performed to identify risk factors associated with anxiety and depression. Results Of the 301 participants, 124 (41.2%) were identified with anxiety and 177 (58.8%) with depression; 98 (32.6%) had both anxiety and depression. Higher prevalence of anxiety was found in female patients and those who resided in rural areas, had poor family support, had a class Ⅳ New York heart association (NYHA), and were admitted repeatedly (3 or more) for heart failure over the past year. Higher prevalence of depression was found in the patients with poor family support and those who had primary or lower education, had a class Ⅳ NYHA, and were in normal or under-weight range. The severity of the two conditions was positively correlated ( r=0.617, P<0.05). The multivariate logistic regression models identified female (OR=2.045), class Ⅳ NYHA (OR=1.955), 3 or more repeated admissions for heart failure (OR=2.288) as predictors for anxiety and/or depression. Conclusion Anxiety and depression is prevalent in hospitalized patients with heart failure. Increased attention needs to be paid to the psychological health of those patients in high risk. -
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期刊类型引用(19)
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