门诊冠心病患者生活质量与抑郁情绪相关性研究

Study on the Relativity between Depression and Quality of Life in Outpatients with Coronary Heart Disease

目的:探讨门诊冠心病患者生活质量与抑郁情绪的关系。方法:采用横断面研究,对168例入选者进行临床情况调查、抑郁评分及生活质量评价,分析生活质量与抑郁情绪的关系。结果:门诊冠心病患者抑郁障碍发生率为35.7%(60例),女性高于男性;冠心病患者生活质量普遍较低,且与抑郁呈负相关(P<0.01);与不伴抑郁情绪障碍者相比,伴抑郁情绪者在躯体活动受限程度、心绞痛稳定状态、心绞痛发作情况、治疗满意程度及疾病认知方面均较差(P<0.05)。结论:门诊冠心病伴抑郁患者生活质量低,表现出较多的躯体活动受限、较低的治疗满意度和疾病认知感。

Objective： To explore the relativity between depression and quality of life in outpatients with coronary heart disease. Methods： Through cross-section investigation, 168 patients were enrolled in clinical surveys, the relativity between depression and quality of life was analyzed by HAMD and SAQ. Results： Depression incidence of the outpatients with coronary heart disease was 35.7%（60 cases）, female was higher than male; quality of life of the patients was lower, and it was negatively related to depression（P〈0.01）; compared with nondepressed group, the depressed patients performed poorer in the limitations of somatic activity, stable state of angina pectoris, the attack, satisfactory degrees of the theory and disease cognition（P〈0.05）. Conclusion： The outpatients suffering from coronary heart disease complicated with depression present more physical limitation, lower therapeutic satisfactory degree and disease cognition.