动脉粥样硬化的焦虑情况调查及相关因素分析

Investigation on the Anxiety Situation of Patients with Atherosclerosis and Related Factors

目的研究动脉粥样硬化的焦虑情况及相关因素。方法对2005年4月至2010年5月海口市人民医院及社区体检的600例确诊为动脉粥样硬化的患者进行问卷调查,调查动脉粥样硬化的焦虑情况,采用单因素和多元线性逐步回归分析动脉粥样硬化的相关因素。结果动脉粥样硬化患者各因素对其焦虑自评量表(SAS)评分影响力的大小排序依次为性别、年龄、吸烟、血脂、血压、血糖,与动脉粥样硬化患者的SAS评分呈正相关(r=0.462,0.324,0.472,0.242,0.229,0.562,均P<0.05)。建立预测动脉粥样硬化的临床指标Logistic回归方程(数学模型)为:P=1/[1+e-(0.534+1.046X1+0.073X2+0.289X3+5.286X4+0.086X5+0.074X6)]。结论动脉粥样硬化的焦虑防治应从年龄、性别、吸烟、血脂、血压、血糖6个危险因素着手,以降低其发病率。

Objective To study the anxiety situation of patients with atherosclerosis and related factors . Methods A total of 600 patients diagnosed as atherosclerosis in Haikou People′s Hospital and Community Medical Centers from Apr.2005 to May 2010 were given a questionnaire survey to investigate the anxiety over atherosclerosis and analyze the risk factors of atherosclerosis by univariate and multivariate linear regression . Results By judging the influence on the self-rating anxiety scale（SAS） of patients with atherosclerosis,gen-der,age,smoking,blood lipids,blood pressure,blood sugar ranked from the top in turn among the risk factors , and such risk factors were positively correlated with SAS of patients with atherosclerosis （r =0.324,0.462, 0.472,0.242,0.229,0.562,all P〈0.05）.Logistic regression equation（mathematical model） was set up to predict the risk factors of atherosclerosis：P =1/[1 ＋e-（0.534＋1.046X1＋0.073X2＋0.289X3＋5.286X4＋0.086X5＋0.074X6） ]. Conclusion Gender,age,smoking,blood lipids,blood pressure,blood glucose should be focused in the pre-vention and treatment for anxiety of patients with atherosclerosis,in order to reduce the incidence rate.