冠脉支架术后患者抑郁状况及影响因素调查

Investigation of depression status and its influencing factors of postoperative patients with coronary stent implantation

目的：探讨冠脉支架术后患者伴发抑郁症的原因及其相关因素，并提出预防措施。方法2010年5月—2013年2月收集520例冠脉支架术后患者资料，对性别、年龄、心绞痛程度、病程、婚姻、疾病认知、文化程度、个性特征、医疗费用压力及抑郁症发生情况进行统计，采用SPSS 13.0软件建立标准化数据库，进行多因素Logistic回归分析。结果520例患者中发生抑郁64例，发生率为12．31%。心绞痛程度、病程、婚姻、疾病认知、文化程度、个性特征、医疗费用压力是冠脉支架术后患者发生抑郁症的影响因素（P〈0.05）。结论对冠脉支架术后产生抑郁症的危险因素采取针对性的健康教育，提高患者疾病认知，可以避免抑郁症的发生。

Objective To investigate the depression reasons and influencing factors of patients after coronary stent implantation, and put forward the prevention and treatment measures. Methods During May 2010 to Februry 2013, a total of 520 postoperative patients of coronary stent implantation with depression were selected and related factors such as age, gender, angina, clinical course, marital status, cognition, educational achievement, personality characteristics, and medical expenses, were analyzed by multiple factor logistic regression with SPSS 13. 0 statistical software. Results Among 520 patients, 64 of them （ 12. 31%） had depression. Those factors impacted on depression including angina, clinical course, cognition, educational achievement, personality characteristics, medical expenses （P 〈 0. 05）. Conclusions Extent of angina, clinical course, cognition, educational achievement, personality characteristics, medical expenses are risk factors for depression formation in postoperative patients of coronary stent implantation. Strengthen health education and disease recognition is important to prevent the occurrence of depression.