冠心病患者术后焦虑、抑郁状态与出院6个月内再次入院治疗的相关性

Relationship between anxiety,depression and readmission within 6 months in patients with coronary heart disease

目的探讨冠心病患者术后焦虑、抑郁状态与出院6个月内再次入院治疗的相关性。方法选择行冠状动脉介入治疗后出院的200例冠心病患者,对其进行6个月的随访调查,探讨冠心病患者术后焦虑、抑郁状态与其再次入院的相关性。结果单因素分析显示再次入院组和未再次入院组患者年龄、病程、出院时和出院6个月后医院焦虑抑郁量表(HADS)焦虑、抑郁、心理困扰评分及出院6月后西雅图心绞痛量表(SAQ)心绞痛发作频率比较,差异存在统计学意义(t分别=-3.08、-2.41、2.71、3.87、2.65、4.18、4.03、4.90、-2.80,P均<0.05)。多因素logistic回归分析显示出院时HADS焦虑≥7分、抑郁≥8分、心理困扰≥15分是冠心病患者术后6个月内再次入院的危险因素(OR分别=1.11、1.21、1.22,P均<0.05)。结论冠心病患者术后焦虑、抑郁状态与出院6个月内再次入院治疗具有一定相关性。

Objective To explore the relationship between the anxiety and depression and readmission within 6 months in patients with coronary heart disease.Methods Totally 200 patients with coronary heart disease who were discharged after coronary intervention were followed up for 6 months to explore the relationship between anxiety,depression and readmission.Results Univariate analysis showed that there were statistically significant differences in age,course of disease,scores of anxiety,depression and psychological distress at discharge and after discharge for 6 months,and SAQ angina attack frequency after discharge for 6 months in readmission group and non readmission group(t=-3.08,-2.41,2.71,3.87,2.65,4.18,4.03,4.90,-2.80,P<0.05).Multivariate logistic regression analysis showed that the score of anxiety higher than 7 points,depression score higher than 8 points,and psychological distress score higher than 15 points were the risk factors of readmission within 6 months in patients with coronary heart disease(OR=1.11,1.21,1.22,P<0.05).Concl⁃usion There is a certain correlation between the state of anxiety and depression and readmission within 6 months in patients with coronary heart disease.