老年心力衰竭患者抑郁、焦虑状况及相关因素分析
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[摘要] 目的 分析老年心力衰竭（简称'心衰“）患者焦虑、抑郁的发生率及影响因素。 方法 应用Zung焦虑自评量表（SAS）和抑郁自评量表（SDS）对225例老年心衰患者焦虑抑郁情况进行评价，分析焦虑抑郁状态的相关影响因素。 结果 老年心衰患者的焦虑发生率为71.5%，抑郁发生率为74.6%。老年心衰患者心功能、文化程度和独居对焦虑状态有影响（P=0.001、0.003、0.001）；心功能和文化程度同时对抑郁状态产生影响（P=0.001、0.045）。心功能越差，其SAS和SDS评分越高（r=0.537、0.615，P=0.001、0.001）。 结论 老年心衰患者的抑郁、焦虑发生率高，心功能和文化程度是其重要影响因素。
[关键词] 心力衰竭；焦虑；抑郁；相关因素
[中图分类号] R749.4 [文献标识码] A [文章编号] 1673-7210（2016）02（a）-0008-04
Investigation of factors associated with depression and anxiety in elderly patients with heart failure
WANG Zheng WANG Changyuan CAO Tao SUN Changyi QIN Jian
Department of Emergency， Xuanwu Hospital， Capital Medical University， Beijing 100053， China
[Abstract] Objective To study the incidence and influencing factors of anxiety and depression in elderly patients with heart failure. Methods Zung self-rating anxiety scale （SAS） and self-rating depression scale （SDS） were used to analyze anxiety and depression of 225 patients with heart failure. The influencing factors of anxiety and depression were analyzed. Results The incidence of anxiety was 71.5%， and the incidence of depression was 74.6%. The heart function， degree of culture and living alone were significantly related to the anxiety （P=0.001， 0.003， 0.001）； the heart function and degree of culture were significantly related to the depression （P=0.001， 0.045）. The worse the cardiac...
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