摘要
目的了解置入永久心脏起搏器患者合并心理问题的现状。方法入选置入永久心脏起搏器患者226例(起搏器组)和健康体检者184例(对照组)。应用Zung焦虑自评量表和Zung抑郁自评量表分别在起搏器组入院时、手术后3d、出院后90d和对照组体检时心理状态进行评估与比较。结果起搏器组患者入院时有焦虑症状和抑郁症状分别占40.27%(91/226)、43.81%(99/226),对照组焦虑和抑郁症状分别为15.22%(28/184)、14.13%(26/184),起搏器组焦虑和抑郁症状显高于对照组(P<0.01)。经过治疗后,起搏器组焦虑和抑郁症状的比例明显下降,出院后90d分别占28.76%(65/226)、29.65%(67/226,P<0.01)。置入永久心脏起搏器患者中,中青年组焦虑和抑郁症状发生率高于老年组(P<0.05)。女性焦虑和抑郁症状发生率高于男性(P<0.05)。结论永久心脏起搏器置入患者存在明显心理问题,女性和中青年患者中更为突出,应引起足够重视。
Objective To get know the current situation of complicating emotional problems in patients after implantation of permanent cardiac artificial pacemaker.Methods The patients with implantation of permanent cardiac artificial pacemaker（n=226,pacemaker group） and health people having physical examination（n=184,control group） were selected.The psychological situation was reviewed in the patients of pacemaker group by using Zung self／｜rating anxiety scale（SAS） and Zung self／｜rating depression scale（SDS） on the 3rd day after the implantation and 90 days after discharge,and in the control group during physical examination.Results The number of patients having anxiety symptoms or depression symptoms accounted for,respectively,40.27%（91/226） and 43.81%（99/226） in the pacemaker group,and for 15.22%（28/184） and 14.13%（26/184） in the control group（P0.01）.The proportion of patients having anxiety symptoms or depression symptoms decreased significantly with the treatment and accounted for,respectively,28.76%（65/226） and 29.65%（67/226） 90 days after the treatment（P0.01）.In the pacemaker group,the occurrence rate of anxiety and depression was higher in the middle／｜ages and the young than that in the aged（P0.05）,and that was higher in women than in men（P0.05）.Conclusion The patients after implantation of permanent cardiac artificial pacemaker have obvious emotional problems and especially in young and female patients,which should be paid enough attention to.
出处
《中国循证心血管医学杂志》
2011年第4期287-289,共3页
Chinese Journal of Evidence-Based Cardiovascular Medicine
关键词
起搏器
焦虑
抑郁
Pacemaker
Anxiety
Depression
