冠状动脉扩张症患者焦虑抑郁与用药依从性情况及相关分析
Analysis of anxiety and depression and medication adherence in patients with coronary artery dilatation and correlation
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| DOI |
| 刊名 |
Journal of International Psychiatry
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| 年，卷(期) |
2024, 51(4) |
| 作者 |
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| 作者单位 |
河北中医学院 ;
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| 摘要 |
【摘 要】：目的:开展冠状动脉扩张症患者焦虑抑郁状况的调查及影响因素分析，分析其二级预防用药的依从性与焦虑抑郁之间的关系。方法：回顾性调查了2020年3月～2022年9月河北省某三级甲等综合医院心内科的98名冠状动脉扩张症患者。采用一般资料问卷、综合医院焦虑抑郁量表(HAD)、Morisky 用药依从性量表（MMAS-8）进行问卷调查。结果:冠状动脉扩张症患者HAD得分为（9.51±4.77），MMAS-8得分为（5.46±1.46）。Spearman秩相关分析冠状动脉扩张症患者的用药依从性与焦虑抑郁呈负相关（r=-0.608,p＜0.01）。多元线性逐步回归分析显示，家庭人均月收入、糖尿病、BMI、陪护类型是CAE患者焦虑抑郁的主要影响因素（P<0. 05）。结论:冠状动脉扩张症患者焦虑抑郁水平较高，二级预防用药依从性较差，二者呈负相关性。临床工作中应及时识别患者心理问题，采取针对性的干预措施，从根源上缓解患者焦虑抑郁情绪，改善生活质量。
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| Abstract |
【Abstract】：Objective:To conduct a survey on the current status of anxiety and depression in patients with coronary artery ectasia(CAE) and analysis of the influencing factors, and to analyze the relationship between their compliance with secondary prevention medication and anxiety and depression. Methods: Ninety-eight patients diagnosed with CAE by coronary angiography in the cardiology department of a tertiary care general hospital in Hebei Province from March 2020 to September 2022 were retrospectively investigated. General information questionnaires, the Hospital Anxiety and Depression Scale (HAD), and the Morisky Medication Adherence Scale-8(MMAS-8) were used to conduct the questionnaire survey. Results:HAD scores of CAE patients were (9.51±4.77) and MMAS-8 scores were (5.46±1.46). Spearman rank correlation analysis showed Medication adherence in patients with CAE was negatively correlated with anxiety and depression (r=-0.608 ,p<0.01). Multiple linear stepwise regression analysis showed that monthly per capita household income, diabetes, BMI, and type of companionship were the main influencing factors of anxiety and depression in CAE patients (p<0.05). Conclusion:The level of anxiety and depression in patients with coronary artery dilatation was higher, and the compliance with secondary prophylactic drugs was poor, which showed a negative correlation. In clinical work, psychological problems of patients should be identified in time, and targeted intervention measures should be taken to relieve anxiety and depression of patients from the root and improve the quality of life.
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| 关键词 |
【关键词】：冠状动脉扩张症；焦虑抑郁；用药依从性；影响因素；调查研究
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| KeyWord |
【Keyword】：Coronary artery ectasia；Anxiety；Depression；Medication Adherence；Influencing Factors.
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| 基金项目 |
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| 页码 |
1220-1223 |
陈美润*.
冠状动脉扩张症患者焦虑抑郁与用药依从性情况及相关分析 [J].
国际精神病学杂志.
2024; 51; (4).
1220 - 1223.