中青年和老年患者冠状动脉支架置入术后抑郁焦虑及其影响因素的调查

THE STUDY OF ANXIETY AND DEPRESSION AND THEIR INFLUENCE FACTORS IN THE OLD AND YOUNG PATIENTS TREATED WITH PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY

[目的]了解中青年和老年患者冠状动脉支架置入术后抑郁和焦虑发病情况,两者间的差别及其影响因素。[方法]对入选对象进行一般情况调查,并应用医院焦虑抑郁量表调查入选对象的抑郁焦虑情况。[结果]①冠状动脉支架置入术后抑郁和焦虑发病率高,分别为54.8%和50.5%。②在中青年患者中,焦虑为主,影响因素有月收入、医疗费用报销方式、突发起病等原因。③老年患者中,抑郁为主,抑郁合并焦虑较中青年患者多见,影响因素有文化程度、月收入、医疗费用报销方式。[结论]冠状动脉支架置入术后患者抑郁焦虑发病率高,不同年龄的患者抑郁焦虑程度不同且影响因素亦不尽相同。

[Objective] To compare anxiety and depression and their influence factors between old and young patients treated with percutaneous transluminal coronary angioplasty. [ Methods] Investigated the general state of all objects and the anxiety and depression were investigated by Hospital Anxiety and Depression Scale. [Results] ① Of all the objects, the incidences of anxiety and depression were 54.8% and 50.5%. ② Among the young patients, anxiety was the main emotion disorder of the young patients and effected by monthly incomes, the way of wiping out the medical cost and outbreak of disease. ③ Depression was the main emotion disorder of the old patients and effeeted by monthly incomes, the way of wiping out the medical cost and educated degree. Besides, the incidence of anxiety combining with depression was higher among old patients than that among young patients. [ Conclusion] The incidences of anxiety and depression are high among the patients treated with pereutaneous transluminal coronary angioplasty, and the levels are different between young and old patients as well as their influences factors are not alike.