急性冠状动脉综合征患者疲劳、抑郁与自我管理行为的相关性研究

Research on the correlation of fatigue, depression and self- management behavior in patients with acute coronary syndrome

目的 分析急性冠状动脉综合征患者疲劳、抑郁与自我管理行为之间的关系. 方法 对113例急性冠状动脉综合征患者采用一般资料调查表、疲劳症状量表、患者健康问卷-9、冠心病自我管理行为量表进行调查. 结果 急性冠状动脉综合征患者疲劳程度得分为(4.59±1.93)分,抑郁得分为(5.05±1.48)分,自我管理行为得分为(57.29±8.29)分;女性患者的疲劳、抑郁水平均高于男性患者,差异具有统计学意义,t=2.535~5.894,P<0.05;回归分析显示,性别、患病时间、合并其他慢性疾病个数进入疲劳程度的回归方程,性别、治疗方式进入抑郁的回归方程;相关分析显示,自我管理水平与疲劳各维度、抑郁水平呈负相关,r=-0.855~0.682.结论 疲劳、抑郁在急性冠状动脉综合征患者中较为常见,并可影响患者的自我管理行为,其中女性患者更易受到疲劳、抑郁的困扰,应引起医务工作者的足够重视.

Objective To investigate the status of fatigue and depression and their influencing factors in patients with acute coronary syndrome, and analyse the correlation of fatigue, depression and self-management behavior. Methods 113 patients were investigated by using Fatigue Symptom Inventory (FSI), Patient Health Questionnaire-9 (PHQ-9), Coronary artery disease Self-management Scale (CSMS). Results The score of fatigue was (4.59±1.93)points, while depression scored (5.05±1.48)points and self-management behavior scored (57.29 ±8.29)points; the score of fatigue, depression of female patients were higher than that of male patients, which had statistical difference(t=2.535-5.894, P<0.05);Regression analysis showed that gender, time of illness, number of other chronic diseases were major factors affecting fatigue while gender and treatment method were major factors affecting depression; there were negative ralationships between self-management and fatigue, self-management and depression (r=-0.855-0.682). Conclusions Fatigue, depression are common in patients with acute coronary syndrome, and can affect their self-management behavior, and the female patients are more susceptible to fatigue and depression.