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曾刚, 付朝伟, 栾荣生, 王小莉, 孙荣国, 李苑, 徐飚. 心脑血管病患者焦虑抑郁状况调查[J]. 中国公共卫生, 2006, 22(9): 1141-1142. DOI: 10.11847/zgggws2006-22-09-69
引用本文: 曾刚, 付朝伟, 栾荣生, 王小莉, 孙荣国, 李苑, 徐飚. 心脑血管病患者焦虑抑郁状况调查[J]. 中国公共卫生, 2006, 22(9): 1141-1142. DOI: 10.11847/zgggws2006-22-09-69
ZENG Gang, FU Chaowei, LUAN Rongsheng, . Analysis of anxiety and depression among cardio-cerebrovascular disease patients in comprehensive hospitals[J]. Chinese Journal of Public Health, 2006, 22(9): 1141-1142. DOI: 10.11847/zgggws2006-22-09-69
Citation: ZENG Gang, FU Chaowei, LUAN Rongsheng, . Analysis of anxiety and depression among cardio-cerebrovascular disease patients in comprehensive hospitals[J]. Chinese Journal of Public Health, 2006, 22(9): 1141-1142. DOI: 10.11847/zgggws2006-22-09-69

心脑血管病患者焦虑抑郁状况调查

Analysis of anxiety and depression among cardio-cerebrovascular disease patients in comprehensive hospitals

  • 摘要:
      目的   了解成都市综合医院心脑血管患者中焦虑、抑郁的患病情况, 分析其影响因素。
      方法   采用方便抽样从成都市抽取3个综合医院, 同时连续抽样收集心内科确诊的冠心病患者152例, 神经内科确诊的脑卒中患者100例。对医院焦虑抑郁量表(HAD)评分≥9分的患者由精神科医生使用Hamilton量表进一步确诊。
      结果   调查对象抑郁症患病率为5.6%, 焦虑症患病率为6.7%;92.9%抑郁患者同时患有焦虑症, 76.5%的焦虑患者同时患有抑郁症; 抑郁症患者均未曾被诊断为抑郁症并接受相应治疗, 仅11.8%焦虑症患者曾被诊断为焦虑症并接受相应治疗; 待岗或失业、自觉目前健康状况较差、工作较劳累为抑郁和焦虑的危险因素。
      结论   焦虑和抑郁共患病率高, 而焦虑和抑郁症诊断率和治疗率低。

     

    Abstract:
      Objective   To investigate the prevalence and its determinants of anxiety and depression among cardio-cerebrovascular disease patients of comprehensive hospitals in Chengdu city.
      Methods   3 comprehensive hospitals were selected by convenience sampling method, among which 152 patients with coronary heart disease and 100 patients with stroke were collected continuously.All the subjects were assessed by Hospital Anxiety and Depression Scale(HADS), Hamilton anxiety scale (HAMA)and Hamilton depression scale(HAMD)by psychiatrist.
      Results   5.6% paients were identified as depression, 6.7% as anxiety, 92.9% patients with depression as co-morbid of anxiety, 76.5% patients with anxiety as co-morbid of depression.No depression patient was diagnosed as depression, and received anti-depression treatment in the past, only 11.8% anxiety patients were diagnosed as anxiety and received anti-anxiety treatment in the past.Unemployment, current poor health condition and heavy work fatigue were risk factors for depression and anxiety.
      Conclusion   The rate of the co-morbidity of anxiety and depression is quite high, and also the rate of diagnosis and treatment is pretty low.

     

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