负性情绪对住院冠心病患者生活质量的影响

Effect of negative emotion on quality of life of inpatients with coronary heart disease

目的调查冠心病患者抑郁和焦虑水平,分析负性情绪对生活质量的影响。方法选取2020年10月至2021年2月间于牡丹江医学院附属红旗医院住院的200例冠心病患者,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)及中国心血管患者生活质量问卷(CQQC)对患者进行问卷调查,根据SAS和SDS评分将冠心病患者分为单纯焦虑组、单纯抑郁组、焦虑抑郁组、非焦虑抑郁组,对比四组患者的生活质量,并采用Pearson线性相关分析分析冠心病患者焦虑、抑郁评分与生活质量的相关性。结果住院冠心病患者SAS平均分为(44.65±11.46)分,发生率为37%(74/200);SDS平均分为(47.57±12.86)分,发生率为36.5%(73/200);四组患者的生活质量在体力状况、病情、一般生活、社会心理状况、工作状况维度评分比较差异有统计学意义(P<0.05);患者焦虑抑郁评分与生活质量中体力状况、病情、医疗状况、一般生活、社会心理状况及工作状况均呈负相关(P<0.05)。结论负性情绪对冠心病患者生活质量的影响不容忽视,医务人员可以通过制定有效的干预策略来帮助患者管理因疾病产生的负性情绪,降低负性情绪对患者生活质量产生的影响。

Objective To investigate the levels of depression and anxiety in patients with coronary heart disease(CHD)and analyze the impact of negative emotions on quality of life.Methods A total of 200 CHD patients hospitalized in Hongqi Hospital affiliated to Mudanjiang Medical University from October 2020 to February 2021 were selected to conduct a questionnaire survey using self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)and China Questionnaire of Quality of life in patients with Cardiovascular Diseases(CQQC).According to SAS and SDS scores,CHD patients were divided into simple anxiety group,simple depression group,anxiety and depression group and non-anxiety and depression group.The quality of life of patients in the four groups was compared,and the correlation between anxiety and depression scores and quality of life of CHD patients was analyzed by Pearson linear correlation analysis.Results The average SCORE of SAS was(44.65±11.46),and the incidence was 37%(74/200).The mean SDS score was(47.57±12.86)and the incidence was 36.5%(73/200).The quality of life of patients in the four groups had statistical significance in physical condition,illness,general life,social and psychological status and work status(P<0.05).The results showed that the scores of anxiety and depression were negatively correlated with physical condition,disease condition,medical condition,general life,social and psychological condition and working condition in quality of life(P<0.05).Conclusion The impact of negative emotions on the quality of life of patients with CHD cannot be ignored.Medical staff can help patients manage the negative emotions caused by the disease though developing effective intervention strategies,and reduce the impact of negative emotions on the quality of life of patients.