参加社会活动和锻炼对冠心病并发抑郁的影响

A RETROSPECTIVE STUDY IN A RURAL COMMUNITY ON THE EFFECT OF JOINING SOCIAL ACTIVITY AND EXERCISE ON CHD COMPLICATED WITH DEPRESSION

目的:研究参加社会活动和锻炼对新兴工业化农村社区冠心病患者并发抑郁的影响。方法:对114例在我院就医、属三角镇户籍常住人口的冠心病(CHD)患者进行Zung量表(SDS量表)检测,同时调查其经济状况、健康习惯、参加社会活动和锻炼情况等。用SPSS13.0版统计软件进行统计分析。结果:抑郁发生率37.7%,女性44.3%(27/61)高于男性30.2%(16/53)。70岁以上者47.6%(30/63)高于70岁以下者25.5%(13/51)。缺少社会活动(几乎不参加社会活动)、缺少锻炼(几乎不锻炼身体)都抑郁发生率高,可能是冠心病并发抑郁的独立预测因素。结论:适度参加社会活动和锻炼对CHD患者并发抑郁可能有预防作用。

Objective： To study the effect of joining social activity and exercise on CHD complicated with depression in a new industrialized rural community. Methods： The psychological status of 114 native CHD patients dwelled in Sanjiao town and treated in our hospital were investigated with the Zung Self-rating Depression Scale （SDS） and their health habit, sleep quality, the status of income, joining in social activity and exercise, the quantity of complications, weight index and NYHA heart function class etc were also investigated. Statistic analysis was processed with SPSS 13.0 software. Results： The prevalence of depression was higher in those who lacked of exercise and sccial activity. Lacking of exercise and social activity were the independent predictors of depression in CHD patients. Conclusion： joining social activity and exercise moderately may prevent CHD patients from being complicated with depression.