心脏科住院心房颤动患者焦虑抑郁情绪调查及其对生活质量的影响-东南大学学报医学版

心脏科住院心房颤动患者焦虑抑郁情绪调查及其对生活质量的影响

单位：1. 东南大学医学院江苏南京 210009;
2. 东南大学附属中大医院心血管内科江苏南京 210009

分类号：R541.75;R749.7

出版年·卷·期（页码）：2017·36·第四期（637-640）

摘要：

目的：调查心房颤动（房颤）患者焦虑抑郁的发病情况以及其生活质量的评估。方法：选取东南大学附属中大医院2014年9月至2016年6月心脏科100例住院房颤患者（房颤组），同期门诊体检100例正常健康人作为对照组，使用汉密尔顿焦虑/抑郁量表（HAMA/HAMD）和美国简明健康测试量表（SF-36）对两组进行评分。数据采用SPSS 13.0软件分析。结果：房颤组中存在焦虑或抑郁情绪的患者占42%，其中焦虑占21%，抑郁占14%，焦虑合并抑郁占7%；对照组中存在焦虑或抑郁情绪的患者占7%，其中焦虑占6%，抑郁占1%，无焦虑合并抑郁。两组比较差异有统计学意义（P<0.05）。房颤组生活质量相关评分低于对照组，差异有统计学意义（P<0.05）。房颤组中焦虑/抑郁患者生活质量评分与非焦虑/抑郁患者之间差异有统计学意义（P<0.05）。结论：房颤患者生活质量评分低，焦虑或抑郁发生率高，并且焦虑、抑郁情况越重，生活质量评分越低。

Objective:To explore anxiety, depression on quality of life(QOL) in hospitalized patients with atrial fibrillation. Methods:One hundred patients with atrial fibrillation were selected from September 2014 to June 2016 in the Department Cardiology of Zhongda Hospital. Another 100 healthy persons with the same age and gender arranged accordingly in another group. Their anxiety and depression were evaluated by the Hamilton anxiety scale(HAMA) and Hamilton depression scale(HAMD), the QOL was evaluated by the 36-Short-Form health survey(sF-36).The scores of their QOL and HADS were analyzed by SPSS 13. 0. Results:There were 100 atrial fibrillation patients,42% atrial fibrillation patients had emotional disorders(21% anxiety, 14% depression,7% anxiety and depression),58%patients did not have emotional disorders,and there were 7 persons (7%) had emotional disorders in the according group,and there was a significant difference of emotional disorder between the two group (χ²=33.113,P<0.005). Also, there was a significant difference of QOL scores between the two groups(P<0.05).The patients with atrial fibrillation were divided into two groups(emotional disorders group and normal emotional group),there was a significant difference of the QOL scores between the two seb-groups (P<0.05). Conclusion:In the two studied groups, the quality of life in the AF group was low, the incidence of anxiety or depression was high, and the more anxiety and depression, the lower the quality of life score.

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