慢性心力衰竭患者焦虑抑郁影响因素调查

Survey on the Influential Factors of Anxiety and Depression in Patients with Chronic Heart Fail- ure

【目的】探讨慢性心力衰竭患者中焦虑及抑郁的发病情况及影响因素。【方法】应用SAS、SDS自评量表，通过问卷调查的方式，对93例心力衰竭患者焦虑和抑郁发生情况进行调查，收集患者的相关资料，分析与焦虑和忧郁发生的相关因素。【结果193例心衰患者中有37．63％的患者存在明显焦虑，有32．26％的患者存在明显抑郁，其中性别、吸烟、心功能分级、心律失常、糖尿病、血型、病程长短可以影响患者焦虑和抑郁的病情；焦虑和抑郁程度与C反应蛋白、氨基酸末端脑钠素前体、左心室射血分数（LVEF）有较强的相关性，没有发现年龄、高血压史、职业类型与焦虑和·比郁有相关性。【结论】心力衰竭患者中存在较高的焦虑和抑郁的发生率，特别是女性、吸烟、中重度心衰合并糖尿病患者值得临床医师重视。

[Objective]To explore the incidence and influential factors of anxiety and depression in patients with chronic heart failure. [Methods] Selfrating anxiety scale（SAS）, selfrating depression scale（SDS） and questionnaire survey were used to investigate the incidence of anxiety and depression in 93 patients with heart failure. The data of patients were collected. The related factors of anxiety and depression were analyzed. [Resuits] Obvious anxiety was found in 37.63% of 93 patients with heart failure. Depression was found in 32. 26% of all patients. Sex, smoking, NYHA class, arrhythmia, diabetes mellitus, blood groups and the course of the disease had effect on the state of anxiety and depression of patients. The degree of anxiety and depres sion had strong correlation with C reactive protein, NTproBNP and left ventricular ejection fraction（LVEF）, but the age, the history of hypertension and occupation had no correlation with anxiety and depression. ICon elusion] There is a high prevalence of anxiety and depression in patients with heart failure. Female, smoking and moderate or severe heart failure patients complicated with diabetes mellitus should be paid more attention by clinicians.