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冠心病患者的焦虑、抑郁状况调查研究

时间:2020-05-08 09:57作者:刘涵
本文导读:这是一篇关于冠心病患者的焦虑、抑郁状况调查研究的文章,冠心病患者的焦虑、抑郁情绪发生率高,其负性情绪受年龄、睡眠时间、疼痛程度、心功能等级、对疾病的知晓、病程长度、文化程度、经济状况等因素的影响。

  摘    要:牛牛游戏厅安卓,{原始关键词} 目的 探讨冠心病患者的负性情绪及相关因素。方法 回归性分析选取2015年1月至2017年1月入院治疗冠心病的患者300例,记录焦虑、抑郁的发生情况及相关因素,采用二元logistic回归方程对影响因素进行分析。结果 患者焦虑、抑郁的水平总分分别为(5.72±1.98)分、(5.51±3.13)分,焦虑、抑郁的发生率分别为58.54%、61.32%,单因素分析得到年龄、睡眠时间、疼痛程度、对疾病的知晓、文化程度、经济状况等相关因素与冠心病负性情绪有关(P<0.05),与性别无关(P>0.05)。二元logistic回归方程计算,上述因素均是引起冠心病患者焦虑、抑郁的因素。结论 冠心病患者的焦虑、抑郁情绪发生率高。其负性情绪受多种因素的影响,为临床心理干预措施提供依据。

  关键词: 冠心病; 负性情绪; 焦虑; 抑郁; 相关因素;

  Abstract: 牛牛游戏厅安卓,{原始关键词}Objective To explore the negative emotions and related factors in patients with coronary heart disease. Methods 300 cases of patients with coronary heart disease admitted to hospital for treatment from January 2015 to January 2017 were given regression analysis. The occurrence of anxiety and depression and the related factors were recorded, and binary Logistic regression equation was used to analyze the influencing factors. Results The total scores of anxiety and depression were(5.72±1.98) points and(5.51±3.13) points respectively, and the incidence rates of anxiety and depression were 58.54% and 61.32% respectively, and univariate analysis showed that the related factors of age, sleep time, pain degree, disease awareness, education level and economic status were related to negative emotions of coronary heart disease(P<0.05), and had nothing to do with gender(P>0.05). The above factors were the factors causing anxiety and depression in patients with coronary heart disease by using the binary Logistic regression equation. Conclusion The incidence rates of anxiety and depression are high in patients with coronary heart disease, and negative emotions are affected by many factors, which provide basis for clinical psychological intervention measures.

  Keyword: Coronary Heart Disease; Negative Emotions; Anxiety; Depression; Related Factors;
 

冠心病患者的焦虑、抑郁状况调查研究
 

  GUANXINBINGSHIYOUYUGUANZHUANGDONGMAIZHOUYANGYINGHUAERYINQIDEXUEGUANGONGNENGJIEGOUDEGAIBIAN,XUEGUANGUANQIANGYOUYUDUSAIBIANDEXIAZHAI,CONGERZAOCHENGXINJIXUEGONGBUZU,ZUIZHONGQUEXUEQUEYANGHUAISIDEXINZANGJIBING。GUANXINBINGHAOFAYUZHONGLAONIANREN,TANGNIAOBINGHUOTANGNAILIANGYICHANGRENQUN,GAOXUEYAGAOXUEZHI,ZHANGQIXIYANZHE。TADEZHUYAOZHENGZHUANGWEITENGTONG,FAZUOYANZHONGDEHUANZHEYOUCUSIKENENGXING。JIWANGYANJIUDUOSHIDUIGUANXINBINGHUANZHEHUANZHEZHENGTIXINLIZHUANGKUANGJIWEIXIANYINSUDEYANJIU[1],ERZHENDUIHUANZHEFUXINGQINGXUDEYANJIUJIAOSHAO,BENYANJIUCAIYONGJIAOLVZICELIANGBIAOHAMAHEYIYUZICELIANGBIAOHAMDDUIGUANXINBINGHUANZHEDEJIAOLV、YIYUZHUANGKUANGJINXINGDIAOCHAJIQIXIANGGUANYINSUJINXINGFENXI,WEIJIANQINGHUANZHEFUXINGQINGXU,TIGONGLINCHUANGXINLIGANYUCUOSHITIGONGYIJU。XIANBAODAORUXIA:

  1、资料与方法

  1.1、 一般资料

  XUANQU2015NIAN1YUEZHI2017NIAN1YUERUYUANZHILIAOGUANXINBINGDEHUANZHEZUOWEIYANJIUDUIXIANG。NARUBIAOZHUN:(1)FUHEGUANXINBINGDEZHENDUANBIAOZHUN:(1)YOUDIANXINGDEXIONGTONGZHENGZHUANG,RUFAZUOXINGJIAOTONG、YAZHAXINGTENGTONGDENG;(2)TINGZHENSHIHUANZHEXINYINJIANRUO;(3)XINDIANTUJIANCES-TBOXINGYICHANG;(4)GUANZHUANGDONGMAIZAOYINGMINGQUEMINGQUEGUANBIYOUWUXIAZHAIHEXIAZHAIBUWEI;(2)NIANLING41~87SUI,SHENZHIQINGCHURUYUANHOUNENGYUYIHURENYUANJINXINGYOUXIAOGOUTONG。PAICHUBIAOZHUN:(1)BANYOUFEIYUANXINGXINZANGBING、FENGSHIXINGXINZANGBING、FALUOSILIANZHENGDENGXINZANGJIBINGDEHUANZHE;(2)YOUGAN、SHENGONGNENGBUQUANDEHUANZHE;(3)JIWANGYOUGAOXUEYA、TANGNIAOBING、XIAOCHUANDENGMANXINGJIBINGDEHUANZHE。CANYUYANJIUDEHUANZHEJUNYIGAOZHI,FUHEHULILUNLIYAOQIU。

  1.2 、研究方法

  1.2.1、 研究工具:

  CAIYONGWENJUANDIAOCHADEFANGSHIDUIHUANZHEJINXINGZILIAODEFENXI,DIAOCHAWENJUANFENWEISANGEBUFEN:YIBANZILIAODIAOCHAWENJUAN、JIAOLVZICELIANGBIAOHAMAHEYIYUZICELIANGBIAOHAMD。(1)YIBANZILIAODIAOCHAWENJUAN:ZIXINGSHEJIYIBANZILIAODIAOCHABIAO,GENJUJIWANGYANJIUZHONGKENENGYINQIGUANXINBINGHUANZHEJIAOLV、YIYUFUXINGQINGXUDEYINGXIANGYINSUJINXINGSHEJI[2]。BAOKUOXINGBIE、NIANLING、SHUIMIAN、TENGTONG、DUIJIBINGDEZHIXIAO、JINGJIZHUANGKUANGDENG;(2)JIAOLVZICELIANGBIAOHAMA[3];(3)YIYUZICELIANGBIAOHAMD[4]。

  1.2.2、 资料收集

牛牛游戏厅安卓,{原始关键词}   XIANGYANJIUDUIXIANGSHUOMINGYANJIUDEMUDEJIYIYI,GAOZHIQITIANXIEFANGFAJIZHUYISHIXIANG,CAIYONGNIMINGDEBANFATIANXIEWENJUAN,TIANXIEWANCHENGHOUDANGCHANGHUISHOU。GONGFAFANGWENJUAN300FEN,HUISHOUWENJUAN300FEN,HUISHOULVWEI100%。SHAICHUXINXITIANXIEBUWANZHENGDEWENJUAN13FEN,DEDAOYOUXIAOWENJUAN287FEN,YOUXIAOLVWEI95.67%。

  1.3、 观察指标

牛牛游戏厅安卓,{原始关键词}   GENJUJIAOLV、YIYULIANGBIAODEPINGFENLAIPANDUANHUANZHEYOUWUFUXINGQINGXU。JIAOLVZICELIANGBIAOHAMA:GAILIANGBIAOGONG14GEXIANGMU,CAIYONG0~4FENDE5JIPINGFENFA,GEJIDEBIAOZHUNWEI:0FENWUZHENGZHUANG、1FENQING、2FENZHONGDENG、3FENZHONG、4FENJIZHONG。GEXIANGMUDEFENXIANGJIA,XIAOYU7FEN,ZEMEIYOUJIAOLVZHENGZHUANG,FENZHIYUEDASHUOMINGHUANZHEDEJIAOLVCHENGDUYUEZHONG。YIYUZICELIANGBIAOHAMD:GAILIANGBIAOGONG17GEXIANGMU,PINGFENFAJIBIAOZHUNYUHAMALIANGBIAOXIANGTONG,XIAOYU8FEN,ZEMEIYOUYIYUZHENGZHUANG,FENZHIYUEDASHUOMINGHUANZHEDEYIYUCHENGDUYUEZHONG。LIANGZUPINGGULIANGBIAOYOURENYILIANGBIAOPINGGUHUANZHEYOUJIAOLV、YIYUZHENGZHUANG,ZERENWEIHUANZHECUNZAIFUXINGQINGXU。

  1.4、 统计学方法

  BENYANJIUSHUJUCAIYONGSPSS19.0RUANJIANJINXINGTONGJIFENXI。YINGXIANGYINSUZILIAOCAIYONGχ2JIANYAN;DUIGUANXINBINGFUXINGQINGXUYOUYINGXIANGDEYINSUYUNYONGERYUANlogisticHUIGUIFENXI,CHAYIYOUTONGJIXUEYIYI(P<0.05)。

  2、结果

  2.1、 冠心病患者焦虑抑郁发生情况

  287LIGUANXINBINGHUANZHEHUANZHE,QIZHONGHAMALIANGBIAOZONGFENWEI(5.72±1.98)FEN,JIAOLVHUANZHE168LI,ZHAN58.54%;HAMDLIANGBIAOZONGFEN(5.51±3.13)FEN,YIYUHUANZHE176LI,ZHAN61.32%;JIWUJIAOLVYEWUYIYUDEHUANZHE89LI,ZHAN31.01%。

  2.2、 冠心病患者负性情绪影响因素单因素分析

  表1 冠心病患者负性情绪影响因素单因素分析(n=287)
表1 冠心病患者负性情绪影响因素单因素分析(n=287)

牛牛游戏厅安卓,{原始关键词}   ZHU:Χ12BIAOSHIYIYUYUFEIYIYUHUANZHEDUIBI,Χ22BIAOSHIJIAOLVYUFEIJIAOLVHUANZHEDUIBI。

  表2 冠心病患者负性情绪影响因素的二元logistic回归分析
表2 冠心病患者负性情绪影响因素的二元logistic回归分析

  GUANXINBINGHUANZHEFUXINGQINGXUYUFEIFUXINGQINGXUHUANZHEZAINIANLING、SHUIMIANSHIJIAN、TENGTONGCHENGDU、DUIJIBINGDEZHIXIAO、JINGJIZHUANGKUANGDENGXIANGGUANYINSUDUIBIYOUMINGXIANCHAYI(P<0.05),ZAIXINGBIESHANGWUMINGXIANCHAYI(P>0.05)。JIANBIAO1。

  2.3 、冠心病患者负性情绪影响因素的二元logistic回归分析

  JIANGNIANLING、SHUIMIANSHIJIAN、TENGTONGCHENGDU、DUIJIBINGDEZHIXIAO、JINGJIZHUANGKUANGDENG5GEYINSUZUOWEIZIBIANLIANG,YIFUXINGQINGXUZUOWEIYINGBIANLIANG,QITATONGJILIANGZUOWEIZIBIANLIANGFUZHIHOUJINXINGJINXINGERYUANlogisticHUIGUIFENXI。5GEBIANLIANGJUNBEINARUFUXINGQINGXUSHUIPINGHUIGUIFANGCHENG,SHUOMINGSHIYINQIGUANXINBINGHUANZHEFUXINGQINGXUDEYINGXIANGYINSU,CHAYIYOUTONGJIXUEYIYI(P<0.05)。JIANBIAO2。

  3、讨论

牛牛游戏厅安卓,{原始关键词}   BENYANJIUJIEGUOXIANSHIGUANXINBINGHUANZHEJIAOLV、YIYUDEFASHENGLVFENBIEWEI58.54%、61.32%,KEJIANFUXINGQINGXUFASHENGLVGAO。GUANXINBINGHUANZHEYOUYUSHENTIHUODONGSHOUXIAN、JIBINGYINQIDETENGTONG、DUIJIBINGDEKONGJUDENGYUANYINRONGYICHUXIANFUXINGQINGXU[5]。BENYANJIUZHONGGUANXINBINGHUANZHEDEJIAOLV、YIYUFASHENGLVJUNMINGXIANGAOYUJIWANGYANJIUZHONGGUANXINBINGHUANZHEFASHENGJIAOLV28.7%、YIYU36.7%[6]。DANSHIJIANYUGAIYANJIUYUBENYANJIUZHONGXUANQUYANJIUDUIXIANGDEXINGBIE、NIANLING、SHENTIZHUANGKUANG、JINGJITIAOJIANDENGQINGKUANGJUNBUXIANGTONG,SUOYIFUXINGQINGXUDEFASHENGLVCUNZAICHAYI。

牛牛游戏厅安卓,{原始关键词}   JIANGYINGXIANGYINSUZUOWEIBIANLIANGDAIRUERYUANlogisticHUIGUIFENXIZHONG,FAXIANNIANLING、SHUIMIANSHIJIAN、TENGTONGCHENGDU、DUIJIBINGDEZHIXIAO、WENHUACHENGDU、JINGJIZHUANGKUANGSHIYINQIGUANXINBINGHUANZHEFUXINGQINGXUDEYINGXIANGYINSU。GENJUYANJIUJIEGUOKEYIDECHUYIXIAJIELUN:NIANLINGDADEHUANZHE,HUANZHESHENTIJINENGZHUJIANXIAJIANG、JICHUJIBINGZENGDUO、DUITENGTONGDENAISHOULIXIAJIANGDENGYUANYIN,SHIDEHUANZHEDUIJIBINGYINQIDEZISHENZHENGZHUANGGANJUEGENGWEIMINGXIAN,RONGYICHANSHENGFUXINGQINGXU;SHUIMIANZHILIANGYUEHAODEHUANZHE,TILIJIJINGSHENYUEHAO,GAISHANDUIJIBINGDENAISHOULI,ZIWOGANSHOUGENGHAO,FUXINGQINGXUDEFASHENGLVGENGSHAO,WANGDAOYANG,DAILIHUA[7]DENGRENDEYANJIUBIAOMINGSHUIMIANYURENDEFUXINGQINGXUYOUGUAN;TENGTONGCHENGDUGAODEHUANZHE,JINGLIJIANTUIKUAI,SHENXINFUDANJIAZHONG,YINGXIANGSHENGHUOZHILIANG,SUOYIYUERONGYICHANSHENGFUXINGQINGXU;BUTONGWENHUACHENGDUDEHUANZHEDUIYUJIBINGDEZHIXIAOCHENGDUBUTONG,ZIWOXINLIDIAOJIENENGLIYEBUTONG,DUIJIBINGDEZHIXIAOYUEDUO,FASHENGJIAOLVYIYUQINGXUGENGSHAO;JINGJISHOURUDIDEHUANZHE,YOUYUXUZHANGQIZHILIAO,DANXINQIJIAZHONGJIATINGJINGJIFUDANYUEZHONG,XINLIYALIDA,RONGYICHUXIANFUXINGQINGXU,YOUXUEZHEYANJIUBIAOMINGWUJINGJISHOURUDERENQUNJIAOLV、YIYUZHUANGKUANGGENGWEIYANZHONG[8]。JIWANGYANJIUBIAOMINGGUANXINBINGHUANZHEDEJIAOLVYIYUQINGXUYUNIANLING、WENHUACHENGDU、YUESHOURUQINGKUANG、HUNYINZHUANGKUANGYIJIYILIAOFEIYONGDENGYINSUXIANGGUAN[9]。BENYANJIUZHONGWEIKAOLVDAOHUANZHEHUNYINZHUANGKUANGJIYILIAOFEIYONGDENGFANGMIAN,SHIBENYANJIUDEBUZU,DANSHIBENYANJIUHAITANTAOLEHUANZHEDESHUIMIANZHUANGKUANGJITENGTONGCHENGDUDUIYUHUANZHEFUXINGQINGXUDEYINGXIANG,DEDAOHUANZHEFUXINGQINGXUYUSHUIMIANZHUANGKUANGJITENGTONGCHENGDUXIANGGUANZHEIYIXINJIELUN。

  ZONGSHANGSUOSHU,GUANXINBINGHUANZHEDEJIAOLV、YIYUQINGXUFASHENGLVGAO,QIFUXINGQINGXUSHOUNIANLING、SHUIMIANSHIJIAN、TENGTONGCHENGDU、XINGONGNENGDENGJI、DUIJIBINGDEZHIXIAO、BINGCHENGZHANGDU、WENHUACHENGDU、JINGJIZHUANGKUANGDENGYINSUDEYINGXIANG。

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