急性心肌梗死患者病情危重程度与抑郁程度的相关性分析

Correlation analysis of illness severity and depression degree in patients with acute myocardial infarction

目的：探讨急性心肌梗死患者的抑郁状况、病情危重程度与抑郁程度的相关性，为制定干预措施提供参考。方法2014年4月—2015年4月对122例急性心肌梗死患者在其发病5～7 d 后采用Zung 抑郁自评量表进行问卷调查评估抑郁程度，采用全球急性冠状动脉事件注册危险评分系统评估病情危重程度，分析二者相关性。结果急性心肌梗死患者 Zung 抑郁自评量表积分高于国内常模，差异有统计学意义（P ＜0．01），共44例患者出现抑郁状态，占36．1％。全球急性冠状动脉事件注册危险评分与抑郁程度相关性不明显（r ＝0．012，P ＝0．892）。结论急性心肌梗死后抑郁状态发生率较高，但抑郁严重程度与病情危重程度无明显相关性。护理人员要重视和及时评估，正确对待病情危重程度对抑郁程度的影响，采取有针对性的护理措施，缓解抑郁患者不良的心理状态。

Objective To investigate the correlation between depression status,severity of illness and severity of depression in patients with acute myocardial infarction （AMI）,and to provide reference for drawing up intervention measures.Methods A total of 122 patients with AMI were given Zung self-rating depression scale to assess the degree of depression,the global registry of acute coronary events （GRACE）risk score to assess the severity of illness after AMI attack 5 to 7 days.Results Zung self-rating depression scale score of these patients with AMI was higher than the national norm （P 〈0.01 ）.44 cases had depression syndrome, accounting for 36.0%;the GRACE risk score and the degree of depression were positively correlated,but the correlation was not significant （r =0.012）and therefore there was not statistical significance （P =0.892）.Conclusions The incidence rate of depression after the occurrence of acute myocardial infarction was relatively higher,and there was no significant correlation between the severity of depression and the severity of the disease.Nursing staff should pay attention to this symptom,timely assess and properly treat the impact of the severity of the disease on the degree of depression,and then take targeted care measures to ease the patients′poor psychological state.