老年慢性心力衰竭患者焦虑抑郁的危险因素分析

Analysis of risk factors of anxiety and depression in elderly patients with chronic heart failure

目的探讨老年慢性心衰患者焦虑和抑郁状况及其危险因素,为护理人员对患者进行心理干预提供依据。方法收集129例老年慢性心衰患者,应用Zung焦虑自评量表、抑郁自评量表评估患者的焦虑和抑郁状况,对数据进行多因素Logistic回归分析。结果129例老年慢性心衰患者中有21.70%存在焦虑,23.26%存在抑郁。文化程度、家人支持与患者焦虑相关(P<0.01);性别、文化程度、家人支持、医疗负担、纽约心功能分级与患者抑郁相关(P<0.05);性别、文化程度与患者焦虑合并抑郁相关(P<0.05)。结论老年慢性心衰患者的焦虑和抑郁情绪与多种因素有关。护理人员应加强评估并提供针对性的措施,预防和缓解患者的不良心理状态。

Objective To study the risk factors of anxiety and depression in elderly patients with chronic heart failure and to provide evidence of psyehological intervention on patients for nurses. Methods A total of 129 patients with chronic heart failure were surveyed with Self-Rating Anxiety Scale （SAS） and Self-Rating Depression Scale （SDS）. The data were analyzed by multi-factor Logistic regression. Re- suits There were 21.70% of patients who were identified for anxiety and 23.26% for depression in this study. Education and family support were significantly related with anxiety （P 〈0.05）. Gender, education and NYHA classification were significandy related with depression （P〈 0.05 ）. Gender and medical burden were significantly related with both anxiety and depression （P〈0.05）. Conclusion Many factors contribute to anxiety and depression in elderly patients with chronic heart failure. Nurses should evaluate patients more comprehensively, and provide effec- tive intervention to prevent and control patients＂ negative psychological condition.