急性心肌梗死患者焦虑抑郁现状调查及相关危险因素分析

摘要

目的：调查急性心肌梗死患者焦虑抑郁情绪现状和影响因素。方法选择2011年1月～2012年12月在我院心内科住院并诊断为AMI的168例患者为研究对象。采用自编问卷、抑郁自评量表（SDS）、焦虑自评量表（SAS）和匹兹堡睡眠质量指数问卷（PSQI）进行调查，用 Logistic回归分析焦虑与抑郁情绪的危险因素。结果46．43％（78/168）的患者有焦虑情绪，49．40％（83/168）的患者有抑郁情绪，28．57％（48/168）的患者同时存在焦虑抑郁情绪。焦虑情绪的危险因素有：经济状况差、自费治疗、工作压力大、存在睡眠问题；抑郁情绪的危险因素有：工作压力大和睡眠问题。结论急性心肌梗死患者会出现焦虑抑郁情绪，其焦虑抑郁情绪受多种因素影响。在临床工作中，应采取心理干预为主的措施，减少患者的焦虑抑郁情绪。%Objective To investigate anxiety and depression status ,and to analyze the risk factors for patients with acute myocardial infarction(AMI) .Method 158 patients treated and diagnosed as AMI from January 2011 to December 2012 in our hospital was selected for the survey .Self-made questionnaire ,Self-rating depression scale (SDS) ,Self-rating anxiety scale(SAS) and Pittsburgh sleep quality index questionnaire(PSQI) were used to the in-vestigation .Result There were 46 .43% (78/168) patients with anxiety ,49 .40% (83/168) with depression ,and 28 .57% ( 48/168) with both anxiety and depression .Risk factors of anxiety were low economic status ,private ex-pense ,high pressure of work and sleeping problem .Risk factors of depression were high pressure of work and sleeping problem .Conclusion Patients with AMI gave the possibility to suffer from anxiety and depression ,which may be influenced by many factors .Measures of psychological intervention should be carry out to less the incidence of anxiety and depression of AMI patients .