老年冠心病患者抑郁与健康相关生活质量的相关性

被引：17

作者：

杨凯 ^{[1
]}

陆地 ^{[1
]}

张博 ^{[2
]}

杨立猛 ^{[3
]}

郑哲 ^{[3
]}

孙成超 ^{[1
]}

机构：

[1] 温州医学院附属第一医院心胸外科

[2] 郑州大学附属第一医院心外科

[3] 北京阜外心血管病医院再生医学实验室

来源：

中国老年学杂志 | 2013年 / 33卷 / 12期

关键词：

冠心病; 抑郁; 健康相关生活质量;

D O I：

暂无

中图分类号：

R541.4 [冠状动脉（粥样）硬化性心脏病（冠心病）];

学科分类号：

摘要：

目的探讨冠心病患者抑郁与健康相关生活质量(HRQOL)的关系。方法冠心病患者213例,应用HAMD17抑郁量表进行抑郁评分,SF-36简易生活量表进行HRQOL评分并分别收集患者的临床资料。结果 213例冠心病患者抑郁的发生率为27.7%,轻度抑郁为25.8%,中度抑郁为1.4%,重度抑郁为0.5%。未受过高等教育患者比例为83.1%,受过高等教育患者比例16.9%。抑郁患者SF-36的8个维度以及生理健康(PCS)、心理健康(MCS)评分明显低于无抑郁患者(P<0.01)。PCS得分组抑郁组明显低于非抑郁组(P<0.01),MCS得分抑郁组明显低于非抑郁组(P<0.01)。是否受过高等教育分层分析显示:未受过高等教育较受过高等教育显示了更差的HRQOL。结论冠心病患者抑郁对HRQOL的影响比非抑郁患者严重,特别是未受过高等教育患者。

引用

页码：2853 / 2855

页数：3

共 6 条

[1]

A Stepwise Psychotherapy Intervention for Reducing Risk in Coronary Artery Disease （SPIRR-CAD） — Rationale and design of a multicenter, randomized trial in depressed patients with CAD[J] . Christian Albus,Manfred E. Beutel,Hans-Christian Deter,Kurt Fritzsche,Martin Hellmich,Jochen Jordan,Jana Juenger,Christian Krauth,Karl-Heinz Ladwig,Matthias Michal,Michael Mueck-Weymann,Katja Petrowski,Burkert Pieske,Joram Ronel,Wolfgang Soellner,Christiane Waller,Cora Weber,Christoph Herrmann-Lingen.Journal o

[2]

Socioeconomic Status and Improvements in Lifestyle, Coronary Risk Factors, and Quality of Life: The Multisite Cardiac Lifestyle Intervention Program[J] . Govil, Sarah R,Weidner, Gerdi,Merritt-Worden, Terri,Ornish, Dean.American Journal of Public Health . 2009 (7)

[3]

Depression, Anxiety, and Neuropsychological Performance in Coronary Artery Bypass Graft Patients: A Follow-Up Study[J] . Stroobant, Nathalie,Vingerhoets, Guy.Psychosomatics . 2008 (4)

[4]

Depressive mood is independently related to stroke and cardiovascular events in a community[J] . G. Yamanaka,K. Otsuka,N. Hotta,S. Murakami,Y. Kubo,O. Matsuoka,E. Takasugi,T. Yamanaka,M. Shinagawa,S. Nunoda,Y. Nishimura,K. Shibata,H. Saitoh,M. Nishinaga,M. Ishine,T. Wada,K. Okumiya,K. Matsubayashi,S. Yano,S. Ishizuka,K. Ichihara,G. Cornélissen,F. Halberg.Biomedicine ＆ Pharmacotherapy . 2005

[5]

Health-Related Quality of Life in Coronary Heart Disease Compared to Norms in Spanish Population[J] . María Soto Torres,Soledad Márquez Calderón,Ignacio Ramos Díaz,Antonio Barba Chacón,Fernando López Fernández,Inmaculada Failde Martínez.Quality of Life Research . 2004 (8)

[6]

Use of the SF36 general health status survey to document health-related quality of life in patients with coronary artery disease: Effect of disease and response to coronary artery bypass graft surgery[J] . Gary M. Kiebzak,Lee M. Pierson,Meredith Campbell,Joseph W. Cook.Heart ＆ Lung - The Journal of Acute and Critical Care . 2002 (3)

← 1 →