应用DCPR评估老年冠心病患者感染SARS-Cov-2后的心身相关障碍

DCPR was used to assess psychosomatic disorders after SARS-Cov-2 in elderly patients with coronary heart disease

目的为改善老年冠心病患者的生活质量提供个性化的干预措施,采用心身研究的诊断标准(DCPR)评估老年冠心病患者在感染严重急性呼吸综合征冠状病毒2(SARS-CoV-2)后产生的心身相关障碍程度。方法采用简单随机抽样的方法,选取南京医科大学第二附属医院2022年9月—2023年6月收治的101例老年冠心病患者作为研究对象,根据是否感染SARS-CoV-2分组,分为感染组(69例)和未感染组(32例)。采用DCPR量表评估患者目前的心身状态,并使用成组t检验、Wilcoxon秩和检验、χ^(2)检验和logistic回归分析等统计学方法进行分析。结果感染组更容易产生抑郁情绪[轻度抑郁:27(39.10%)vs.5(15.60%);中重度抑郁:9(13.10%)vs.1(3.10%)]和心身症状[37(53.60%)vs.25(78.10%),χ^(2)=5.537,P<0.05];2组幸福感总分、睡眠困扰总分、心理困扰总分、异常疾病行为总分比较差异均有统计学意义(P<0.05)。结论感染SARS-CoV-2是老年冠心病患者产生心身相关障碍的影响因素之一,利用DCPR可以更全面地评估并有助于及时提出合理、具有针对性的干预措施。

Objective To provide individualized interventions aimed at improving the quality of life of elderly patients,the diagnostic criteria for psychosomatic research(DCPR)was used to evaluate the psychosomatic related disorders in elderly patients with coronary atherosclerotic heart disease after infection with severe acute respiratory syndrome coronavirus-2(SARS-CoV-2).Methods Using random sampling,101 elderly patients with coronary heart disease admitted to the Second Affiliated Hospital of Nanjing Medical University from September 2022 to June 2023 were selected as the research subjects.According to whether they were infected with SARS-CoV-2,69 cases were in the infected group and 32 cases were in the uninfected group.The DCPR scale was used to evaluate the current psychosomatic status of the patients,and statistical methods such as group t-test,Wilcoxon rank-sum test,χ^(2)test,and logistic regression analysis were used to analyze the impact of psychosomatic symptoms on the elderly patients with coronary heart disease after infection with COVID-19.Results The infected group was more likely to develop depressed moods[Mild depression:27(39.10%)vs.5(15.60%);Moderate to severe depression:9(13.10%)vs.1(3.10%)]and psychosomatic symptoms[37(53.60%)vs.25(78.10%),χ^(2)=5.537,P<0.05].The differences in the scores of happiness total score,sleep disturbance,psychological distress,and abnormal disorder behavior between the two groups were all statistically significant(P<0.05).Conclusion Infection with SARS-CoV-2 is one of the influencing factors of psychosomatic disorders in elderly patients with coronary heart disease,DCPR can make a more comprehensive assessment and help to propose reasonable and targeted interventions in time.